Online Hair Loss Test
This is a quick 2-minute validated questionnaire to identify and help both men and women who are experiencing hair loss. It is obligation free and absolutely confidential.
Upon submission we will respond to you from your given email address with a range of in-depth treatment options that are available and the next steps going forward.
Please note that by submitting this form, you will be signed up to the Hair Clinic newsletter. We respect your privacy and you can unsubscribe at any time.
Your personal details will remain confidential and not disclosed to any third parties. You have the right to view, change or delete this information on request. This questionnaire is not comprehensive, and does not replace a full history and physical examination and further information may be necessary on follow-up. Due diligence will be exercised for making a thorough assessment.