頭皮出油出汗評估表
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Email *
姓名 *
性別 *
出生日期 (民國年/月/日) *
聯絡電話 *
頭皮容易流汗的嚴重程度? *
Required
洗頭的次數? *
Required
不洗頭 不出門? *
Required
洗完頭，頭髮易塌? *
Required
頭皮易發癢嗎? *
Required
有落髮現象? *
Required
容易有痘痘，毛囊炎? *
Required
LINE ID *
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