Hair Test

Sex

Why we are asking this ?

Male
Female

Do you smoke

Why we are asking this ?

Yes
No

History of any systemic illness in recent past eg Malaria, Dengue, Typhoid, Covid etc

Why we are asking this ?

Yes
No

History of taking following hair treatments in last 1 year.

Why we are asking this ?

Rebounding
coloring
Keratin treatment
None

Hair type
Straight
Wavy
Curly
Coily

When you rub your hand over scalp then how many strands you see in your hand?
None
5 to 10
15 to 20
> 20

When you wake up do you notice hair over your pillow or bedsheet.
Yes
No

Scalp type
Oily
Dry
Scaly

Hair texture
Smooth
Frizzy