Candidate Quiz

Email Address *

Current Location (City, State) *

How did you hear about us? *
—Please choose an option—GoogleSocial MediaTV CommercialFriends/Family/Referring PhysicianEmail NewsletterFlyer/Brochure/Business Card

I have been thinking about hair restoration for ___ *
—Please choose an option—Under a year1-3 years3-6 years6+ years

The areas that bother me the most include: *
The HairlineThe CrownThe Mid-portion or VertexThe TemplesMy EyebrowsMy Facial Hair

My biggest concerns when considering a hair restoration procedure are: *
PainCostDowntimeNervous about outcomeMy AgeInfectionScarringThe fact that people may notice

My main reason for considering a Hair Transplant is: *
—Please choose an option—I want to look younger and/or refreshedI have a special event that I would like to prepare forI want to feel better about myself and my appearanceA significant other or other influential person is a factor in my decisionI've had a major life event which has motivated meOther

I would describe myself as a happy person: *
Strongly DisagreeDisagreeNeutralAgreeStrongly Agree

I would describe myself as someone with realistic expectations: *
Strongly DisagreeDisagreeNeutralAgreeStrongly Agree

I am satisfied with how I look in the mirror today: *
Strongly DisagreeDisagreeNeutralAgreeStrongly Agree

I would say that I have done my research and have a lot of knowledge regarding hair restoration: *
Strongly DisagreeDisagreeNeutralAgreeStrongly Agree

I am serious about having this procedure within: *
—Please choose an option—6 months6 months - 1 yearOver 1 yearI am just looking for information

I have tried: *
MedicationsSpecial Shampoos/Conditioners/Hair TreatmentHair Vitamins/SupplementsLaser Caps/CombsAlternative TreatmentsHair Pieces/Wigs/Hair Camouflage ProductsPrevious Hair Transplantation

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I consent

How would you like to be contacted? *
—Please choose an option—PhoneEmail

Saratoga Hair Center Terms of Use*