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1 of 5

What made you first notice your hair loss? *

Negative comments from family, friends or others

I saw a picture of myslef

I've been seeing excessive hair loss on my pillow or when taking a shower

Other

What bothers you most about losing your hair? *

Balding makes me feel older

I feel insecure

Balding makes me feel less attractive

other

2 of 5

What concerns you most about getting a hair transplant? *

Pain

Cost

Scarring

Other

3 of 5

Have you considered any of the following options (below)? *

Rogaine

Propecia

Wigs

PRP

None of the above

Have you ever considered shaving yourself bald as an option? *

Yes

No

4 of 5

What would be the best thing about having your hair back? *

I would feel younger

I would feel more secure

I would be more attractive

Other

Do you know the difference between FUT and FUE hair transplant procedures? *

Yes

No

5 of 5

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