1. Where are you balding/thinning?
a) Front x
b) Crown
c) All over
d) Other (Specify) =
2. Rate your baldness/thinning (personal opinion):
a) Totally bald areas
b) Extreme thinning
c) Tolerable thinning x
d) Very slight notice - Im here so I can stop it early
3. What is your age? (Optional) = 30ish
4. At what age did you notice thinning / baldness? (Optional) = 18
5. Do you use Propecia (or equivalent Finasteride brand)?
a) Yes - Propecia
b) Yes - Proscar
c) Yes - Other (Specify) = x
d) No pills for me
6. If YES to question 5, do you think it is working?
a) DEFINITELY - I have more hair on my head
b) I think so - it seems to have slowed my thinning
c) No - I am still losing hair, it looks worse
d) I dont know / too early to tell x
7. How long have you been using Propecia/Fin.? =
8. Do you use Rogaine (or equivalent Minox)?
a) Yes - Rogaine 5%
b) Yes - Rogaine 2%
c) Yes - Other Brand (Specify) = 5%x
d) No topical treatment
9. If yes to q8, foam or liquid? = liquid
10. If yes q8, do you think Rogaine / Minox is working?
a) Yes it is working, my hair is thicker / denser / looking better
b) I think so, I think it may have halted hair loss
c) No, Im still shedding - its not working at all
d) I dont know, its too early to say x
11. If yes to q8, how long have you been using this product for (please specify daily application, once, twice, etc.)? = approx 3 mth/ 2 daily
12. Do you use any shampoo that may aid in reducing hairloss?
a) Yes - I use Nizoral 'X' times a week (Please fill in X)
b) Yes - I use Revita 'X' times a week
c) Yes - I use 'OTHER' 'X' times a week (Please specify) =
d) No, no shampoos or conditioners x
13. Do you use any vitamins / tablets / herbal remedies? If yes, please specify = multi vitamin
which i take for general health
14. Finally, lets look at the overall picture, and answer this one question. 'My hairloss prevention routine, so far, has been' =
a) VERY Successful. I have more hair.
b) Successful. It seems to me that I am keeping what I have.
c) Somewhat successful. I am thinning, but it has slowed.
d) Unsuccessful. Its not helping.
e) I dont know / too early to tell. x
15. My final comments / advice / speculation that may have been missed in the questions above:
Keeping fingers crossed