To help us establish whether you are suffering from male pattern hair loss we need to ask you a few questions. The good news is it will only take you a couple minutes and at the end of the questionnaire we will share with you what we think is the most effective treatment for your stage of hair loss.

So let's get started.

Hair Loss

The following questions will help us establish your stage of hair loss and also confirm that your hair loss is genetic in nature

What Pattern/Stage of hair loss do you have?







When did you first notice you were losing your hair?




Was the hair loss sudden or gradual?


Have you experienced hair loss on your face or body?


Is there a history of hair loss in your family?