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Hirsutism Treatment Interest
Interest in Hirsutism Treatment
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Email
*
Your email
Name
*
Your answer
Address
*
Your answer
Phone number
Your answer
How did you hear about this treatment service?
*
IG
FB
Friend/Family
Web Search
Walk-In
Other:
Were you officially diagnosed with PCOS?
*
No
Yes
When were you diagnosed with PCOS? (When did you start dealing with excessive hirsutism-like hair growth?)
*
MM
/
DD
/
YYYY
Where are you experiencing hair growth
*
Your answer
What form(s) of hair removal do you use?
Waxing
Tweezing
Shaving
Chemical Hair Removal
Laser Hair Removal
None
Other:
Are you willing to commit to at least 8 weeks of treatment and progress documentation?
*
Yes
No
Do you have any other skin conditions? If yes, please tell.
*
No
Other:
Do you have any pre-existing health conditions
*
Yes
No
Comments / Other information you would like to share
Your answer
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