Hair Restoration Assessment

Personalized solutions for hair loss

Hair loss has many causes and treatments. This assessment evaluates your situation to recommend the most effective approach.

Pattern analysis
Contributing factors
Treatment matching
Personalized protocol

Estimated time: 5 minutes

What is your date of birth?

Month

Day

Year

What is your gender?

FEMALE MALE

What is your height and weight?

Height

5 ft

8 in

5'8"

Weight

165 lbs

Your Body Mass Index

BMI is one indicator of body composition. Your provider will consider this alongside other factors.

-- BMI

What are your main hair concerns?

Thinning hair Receding hairline Bald spots or patches Overall hair loss and shedding Dandruff or flaky scalp Dryness or brittleness

How long have you been experiencing these concerns?

Less than 6 months 6 to 12 months 1 to 3 years More than 3 years

Does anyone in your immediate family have a history of hair loss?

Yes, on both sides of the family Yes, on my mother's side Yes, on my father's side No, not to my knowledge

How would you describe your current stress level?

Low Moderate High Very High

How does your hair concern affect your confidence or social life?

Not at all Slightly Moderately Significantly

How would you describe your diet's focus on hair-healthy nutrients (e.g., biotin, iron, zinc)?

Very good, I focus on these nutrients Good, I eat a balanced diet Average, I don't pay much attention Poor, my diet lacks variety

Have you tried any hair loss treatments in the past?

Yes, and they were effective Yes, but they were not effective No, I have not tried any treatments

Do you frequently use heat styling tools (e.g., blow dryers, straighteners) or chemical treatments?

Never Rarely (once a month) Sometimes (once a week) Often (most days)

Enhance Results with Your Location

Enhance Results with Your Location Enable precise location for enhanced results

HIPAA Protected

Your location data is protected under HIPAA and used only to provide locally-relevant health insights. We never share your precise location with third parties.

Enable to share your precise location

Enhance Results with Lab Analysis

Enhance Results with Lab Analysis Upload your lab results for AI-powered biomarker analysis

HIPAA Protected & Encrypted

Your lab results are encrypted with AES-256 and protected under HIPAA. Only authorized healthcare providers can access your data. Your PDF is processed securely and never stored unencrypted.

No problem! You can skip this step and add lab results later from your dashboard.

Enhance Results with Visual Analysis

Enhance Results with Visual Analysis Upload a photo for AI-powered visual health analysis

HIPAA Protected Medical Images

Your medical photos are encrypted, stored securely, and protected under HIPAA. Images are analyzed by AI and immediately encrypted—they are never stored unprotected or shared with third parties.

No problem! You can skip this step and add photos later from your dashboard.

First Name

Last Name

Email Address

Phone Number

Hair Assessment

Hair Restoration Assessment

Your Body Mass Index

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