How Would You Best Describe Yourself?
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I want to establish a hairline
I want to thicken the appearance of thinning hair
I want to fill in bald areas
I want to camouflage a scar
Other
Have you ever done an SMP treatment?
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Yes
No
When did you first hear about SMP?
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Just now
Within the past few weeks
I've known about it for a while
I've had SMP in the past
Have You Tried Any Other Hair Loss Treatments?
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Prescription medication
Natural supplements
Shampoo or creams
Hair transplant
Other
Nothing yet
How Has This Issue Impacted Your Life?
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Loss of confidence
Having to wear a hat
Shaving head too often
Professional setbacks
Nothing. I just want my natural look back
What Is Your Name?
First Name
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Last Name
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What Is Your Email Address?
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Verify Your Cell Phone Number
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