Hair Questionnaire
Please respond to the questions below. Responses will stay anonymous.
Email *
Assigned Sex? *
Age? *
In the past year have you had concerns about your hair journey (loss, growth, health, etc) *
Do you suffer from or have suffered from: *
Required
How active are you in your hair care? *
low (no products)
high (customized products)
How satisfied are you with the condition of your current hair? *
Not satisfied
Very satisfied
Are you familiar with Finasteride? *
Are you familiar with Minoxidil? *
What hair loss remedies have you tried? (N/A if none) *
Have you experienced have any side effects from hair loss remedies, and if so what remedies and side effects? (N/A if none) *
What brands do/have you used for haircare? *
Required
Do you or have you subscribed/used customized self-care? *
Are you interested in AI personalized hair care? *
Would you be interested in all-inclusive hair loss kit with multiple formulas and devices, including a free registration for an app that gives you step by step instructions for our kit and timed daily reminders? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of University of Richmond. Report Abuse