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GenderMaleFemale Age

Help Us Understand Your Hair Loss

Please select photos of your hair loss patterns:*

Norwood 2
Norwood 2a
Norwood 3
Norwood 3a

Norwood Vertex
Norwood 4
Norwood 4a
Norwood 5

Norwood 5
Norwood 6
Ludwig 1
Ludwig 2

Ludwig 3

Which treatments have you tried? (check all that apply)*

Propecia/FinasterideRogaine/MinoxidilLaser/LLLTFUT Hair Transplant and FUE Hair TransplantNatural Herbs/SupplementsShampoos/TopicalsOther

Hair Restoration Goals (check all that apply)*

Hairline RestorationIncreased DensityCrown CoverageStop/Slow Hair-lossOther

Treatment Timeframe:*

Select TimeframeWithin 0-2 months3-6 months6-9 months9-12 months12+ months

Questions/Comments

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Angle 1
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