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Understanding Hair Loss
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Understanding Hair Loss
Resources
About
Join
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Name
*
First
Last
Email
*
How young are you?
*
0-13 years
14-21 years
22-55 years
Over 53 years
Phone
City, State of Residence
*
Current Hair Condition (Check all that apply)
*
Hurting/burning scalp
Crusty/bumpy scalp
Shedding hair
Lack of hair growth
Hair breakage
Other
Have you received any of the following medical diagnoses? (Check all that apply)
Alopecia Areata
Androgenetic Alopecia (genetic loss)
Scarring Alopecia
Telogen Effluvium (Aggressive Loss)
Autoimmune Disease
Depression/anxiety
Diabetes
Hormone Imbalance
Thyroid Imbalance
Other
Which race(s) and/or ethnicity do you identify with?
*
American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino
Native Hawaii or Other Pacific Islander
White
Other
This information is only used to ensure we provide customized resources for YOUR specific hair type. We are a 100% inclusive environment.
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