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QUESTIONS ABOUT HAIR LOSS

Please answer the following questions and they will be reviewed and answered for you by a hair loss professional.

How long have you had hair loss?
Since that time, how has your hair loss been?
- Better
- Worse
- Same
Which part of your head has hair loss?
- All Over
- Front / Hairline
- Crown
- Back / Lower
Are your hairs:
- Breaking Off
- Coming Out At The Roots
Do you have any history of anemia, low iron or thyroid disorders? Please explain:
Are you a Vegetarian or vegan?
- Yes
- No
Do you have a rash or flaking in your scalp?
- Yes
- No
What do you think is the cause of your hair loss? Please include any other information that you believe may be important.
How Should We Get In Touch With You?
Name
First Last
Phone
Email
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42458

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A top-rated Dallas hair extension salon that provides clients with the ultimate hair experience. Full-service hair color, cuts, extensions, and hair replacement offerings.

Tiffany Taylor Hair

5 Stars - Based on 17 User Reviews

Tiffany Taylor Hair 7700 W Northwest Hwy Suite 720 # 215 Dallas, Texas 75225 (972) 821-1747
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