Your Hair Vibe Check What's your name? Next Your Hair Vibe Check How old are you? Next Your Hair Vibe Check Your email (so we can hit you up later): Next Your Hair Story How's your hair looking right now? Select an option Super thick Pretty full Average Getting thin Barely there Next Your Hair Story When did you first notice your hair acting up? Select an option In the last 6 months 6–12 months ago 1–2 years ago Way back Next Your Hair Story What changes have you seen? (Select at least one) Receding hairline Thinning on top Patchy spots Overall thinning Other Next Your Hair Story Have you ever been told you have a specific type of hair loss? Select an option No Yes If yes, please share details: Next Your Hair Story Any recent life changes (stress, diet, health, etc.) that might be affecting your hair? Next Family Vibes Does hair loss run in your family? Select an option No Yes If yes, who in your family has dealt with it? (Select at least one) Dad Mom Siblings Grandparents Other Next Lifestyle Check On a scale of 1–10, how stressed are you feeling these days? Select a rating 1 - Not stressed at all 2 - Very low stress 3 - Low stress 4 - Slightly stressed 5 - Moderately stressed 6 - Noticeably stressed 7 - Quite stressed 8 - Very stressed 9 - Extremely stressed 10 - Overwhelmed Next Lifestyle Check Got any diet habits or nutritional quirks that might affect your hair? Select an option No Yes If yes, spill the tea: Next Lifestyle Check How often do you use styling or chemical products (like dyes or relaxers)? Select an option Every day A few times a week Occasionally Hardly ever Next Lifestyle Check How many hours do you usually get for sleep? Next Your Hair Care Routine How often do you wash your hair? Select an option Every day Every other day A few times a week Rarely Next Your Hair Care Routine Which hair products are you currently using? (Select at least one) Shampoo Conditioner Serum Hair Growth Products Styling Products Other Next Snap & Share Upload a clear photo of the front of your head: Next Snap & Share Upload a clear photo of the side of your head: Next Snap & Share Upload a clear photo of the top of your head: Next Your Hair Goals What's your hair game plan? (Select at least one) Stop hair loss in its tracks Boost regrowth Figure out what's going on Amp up overall hair health Other Next Your Hair Goals Which treatments or approaches sound like your vibe? (Select at least one) Medical treatments Natural remedies Lifestyle tweaks Pro hair procedures Open to suggestions Next Ready to Roll - Consent I'm cool with sharing my info & photos so you can create my personalized hair plan. Submit
