Welcome to your Hair Consultation!
Share your hair story with us. We're here to get to know you, so that our team of hair and health research doctors can create your all-in-one Hair Hub dashboard that does just what your hair needs.
This 10-minute consultation gives our team the complete picture they need to build your personalized, all-in-one Hair Hub dashboard.
What is your primary hair concern?
How long have you been experiencing this hair concern?
Has your hair shedding/loss been:
Estimate the percentage of hair lost overall:
Where are your problem areas? (select all that apply)
How sensitive is your scalp?
On a scale of 1-7, how much does this hair concern impact your daily life?
Please select any current medical conditions you have:
Have you had any of the following in the past 6 months? (select all that apply)
Do you have a family history of the following? (select all that apply)
Are you using any of the following for your condition? (select all that apply)
Please list any medications you’re currently taking (including prescriptions, herbal medicine, and supplements):
What else, if anything, have you tried to resolve your condition? (for e.g., medical intervention, dermatologist, trichologist, etc.)
Are you currently:
How would you describe your menstrual cycle? (if applicable)
Which of the following are part of your regular diet? (select all that apply)
Do you have a particular love (or weakness) for any of these? (select all that apply)
Have you recently changed your diet or supplements?
Describe your current supplement routine (brands, frequency, doses if known):
How would you describe your average daily stress levels?
How satisfied are you with your daily nutrition?
How active are you on a daily basis?
Average weekly activity level (hours per week):
How would you rate your average daily sleep quality?
Average sleep duration (hours per night):
Do you suspect any of the following may have triggered your hair issues? (select all that apply)
If you indicated a trigger above, when did the trigger occur in relation to your hair issue?
How often do you wash your hair?
What styling methods do you regularly use? (e.g., braids, wigs, heat tools)
Do you color or chemically treat your hair?
What brands/products are currently part of your routine?
How much do you currently invest in maintaining your hair health and styling per year? (Include salon visits, products, treatments, etc.)
Now for your details, what is your full name?
What is your email
What gender were you assigned at birth?
What is your ideal body weight in pounds?
What is your phone number?
What is your date of birth?
What are your top 1–2 goals for your hair and health over the next 3 months?
Congratulations, You're one step closer! Thank you for your thoughtful responses.