1 ✓ About You Step 1 of 5: About You 2 ✓ Health Status Step 2 of 5: Health Status 3 ✓ Lifestyle Step 3 of 5: Lifestyle 4 ✓ Goals Step 4 of 5: Goals 5 ✓ Summary Step 5 of 5: Summary About 6 minutes Hair Assessment Comprehensive hair health assessment with personalized recommendations What You'll Get: ✓ Five-Engine Health Score Comprehensive evaluation across five health dimensions ✓ Personalized Recommendations Tailored treatment options based on your results ✓ Real-Time Insights See your health baseline as you complete the assessment About 6 minutes to complete HIPAA-compliant & secure Start Assessment → Question 1 What is your gender? * FEMALE MALE Back Continue Question 2 What is your date of birth? * Month Month January February March April May June July August September October November December Day Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year Year 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 Back Continue Question 3 What is your height and weight? * Height ft in Weight lbs Back Continue Question 4 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 Back Continue Continue Assessment → Question 5 How long have you been experiencing these concerns? * Less than 6 months 6 to 12 months 1 to 3 years More than 3 years Back Continue Question 6 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 Back Continue Question 7 How would you describe your current stress level? * Low Moderate High Very High Back Continue Question 8 How does your hair concern affect your confidence or social life? * Not at all Slightly Moderately Significantly Back Continue Continue Assessment → Question 9 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 Back Continue Question 10 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 Back Continue Question 11 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) Back Continue Question 12 Select any symptoms related to your hair health: Hair loss or thinning Brittle or breaking hair Slow hair growth Dry or itchy scalp Oily scalp Dandruff or flaking Premature graying Known thyroid problems High stress levels None of the above Back Continue Continue Assessment → Question 13 Enhance Results with Visual Analysis (Optional) Enhance Results with Visual Analysis (Optional) 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. Please upload a photo of your scalp/hairline to assess hair density and patterns. Drag & drop your photo here, or click to browse JPEG, PNG, or WebP • Max 20MB × No problem! You can skip this step and add photos later from your dashboard. Back Continue Question 14 Enhance Results with Your Location (Optional) Enhance Results with Your Location (Optional) 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 Share My Location Your browser will ask for permission Can't access your location? Enter your zip code instead: Confirm No problem! You can still complete your assessment. We'll use approximate location based on your connection. Back Continue Question 15 Add lab results (optional) Add lab results (optional) Optional: attach a lab PDF to enrich your assessment 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. Upload a LabCorp or Quest Diagnostics PDF if you have one. We extract reported values and attach them to your assessment for richer context. Choose PDF or drag here LabCorp Quest Diagnostics PDF files up to 10MB No problem! You can skip this step and add lab results later from your dashboard. Back Continue Create Your Account We'll personalize your results and send them to you. First Name * Last Name * Email Address * Phone Number For appointment scheduling (optional) I agree to the Terms of Service and Privacy Policy We'll email you a secure link to access your results anytime — no password needed. After you submit, you'll see your results immediately. ← Back Submit Assessment ×
