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this is the first step in designing the best hair system customized for your needs
27Questions
  • 1
    First & Last Name
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  • 2
    Best Contact Number
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  • 3
    For Order Updates, Invoices, & Shipment Information
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  • 4
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  • 5
    We ask this question to help us understand things that might affect your hair system. It helps us if we know things like hair density and recession.
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  • 6
    We ask this question to help us understand things that might affect your hair system. It helps us if we know things like hair density and recession.
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  • 7
    We ask this question to help us understand things that might affect your hair system. It helps us if we know things like hair density and recession.
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  • 8
    Select the image that most closely represents your hair loss situation
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  • 9
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  • 10
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  • 11
    If you have little or no front hairline we need to recreate it. If your hairline is healthy we can design a system accordingly.
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  • 12
    Select the image that represents the desired frontal hairline
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  • 13
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  • 14
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  • 15
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  • 16
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  • 17
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  • 18
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  • 19
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  • 20
    in inches
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  • 21
    in inches
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  • 22
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  • 23
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  • 24
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  • 25
    Try to provide photos from all angles. The more images the better.
    Drag and drop files here
    Select files to upload
    Max. file size: 10.6MB
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  • 26
    Drag and drop files here
    Select files to upload
    Max. file size: 10.6MB
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  • 27
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Women's Hair Recommendation Form
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