Evaluation

Hair Loss Patterns as You Believe

At what age did your hair loss begin?

How fast are you losing hair at this time?

Who has the worst hair loss in your family?

Family Member's Pattern of his loss?

Are you on Propecia?

Are you on Rogaine?

Mark the diagram closest to your current hair loss pattern with an A

Mark the diagram closest to the worst hair loss pattern that runs in your family with a B

Mark the diagram closest to the pattern of the family member whose history of hair loss most resembles yours with a C