HAIR LOSS
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In a matter of minutes, with our free online consultation, you'll know if Harley The Hair Hero program is for you.
We ask more questions so you get a complete diagnosis from a qualified professional.
Completely private. No obligation. Nothing to lose.
Let's do this thing.

Firstname

What's your email?

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?

Other

When did you first notice you were losing your hair?

Less than 1 year Between 1 and 2 years Between 2 and 5 years 5 years or more

Was the hair loss sudden or gradual?

Gradual Sudden

Have you experienced hair loss on your face or body?

No Yes

Is there a history of hair loss in your family?

Yes (can be father, mother, granparents, uncle, brother, sister, etc) No relatives with hair loss Not sure

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