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Prediagnosis

Please, fill this form to know your pathology and advise you a treatment. Thank you.

 
Kind of hair Scalp Eventual Transformations
Very fine Very dry Natural Hair
Fine Normal Colored Hair
Medium Not very greasy Bleached Hair
Soft Very greasy Soft Permed Hair
Strong Irritated Strong Permed Hair
Resistant Psoriasis Streaked Hair
Brittle Seborrheic dermatitis Silver Hair
Greasy  
 

 
Deficiency Type of deficiency Type of shampoo, trademark and wash frequency
Hair loss Light Type
Seborrhoea Medium Trademark
Dry Dandruff Hight Frequency
Greasy Dandruff % hair loss  
 

 
Actualy your hair are Complementary reports (about the customer)
Permed Well-ballanced apperance Age
Bleached Sensitive apperance Profession
Colored Man Woman  
 
Some Causes of Baldness Previous treatments
Stress, depression, nerves By yourself
Vitamin deficiency or anemia By other method
Postnatal o miscarries  
Medical's treatments - Chemotherapy and Radiotherapy  
Weight reducing treatment  
Illnesses that cause fever  
Hormonal Problems  
Menopause  
Traumatisms or recent operations  
Menstrual disoreder  
Mouth infections or other infections  
Gastrointestinal disease or liver disease  

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