HAIR TRANSPLANT QUICK SURVEY
What is your primary reason for considering a hair transplant? (Select all that apply)
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Receding hairline
Thinning hair
Self-confidence
Bald spots
How would you describe the level of your baldness or hair thinning? (Select one)
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Not bald, but experiencing noticeable thinning
Receding hairline
Minor bald spots
Moderate baldness
Severe baldness
Prefer not to say
Have you ever tried any of the following treatments for hair loss? (Select all that apply)
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Finasteride (Propecia)
Minoxidil (Rogaine)
Hair growth shampoos
Laser therapy
Platelet-rich plasma (PRP) therapy
None
If you're considering a hair transplant, what factors are most important to you? (Select all that apply)
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Natural-looking results
Cost
Minimal downtime
Expertise of the surgeon
Positive reviews and testimonials
First Name
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Last Name
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Email
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Phone
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