Your 2 minute consultation

Do you smoke?

On average, how many units of alcohol do you drink in a week?

Do you suffer from any problems with your liver or kidneys, your urinary system or digestive system?

Have you ever been diagnosed with cancer of the prostate?

Do you have any skin conditions?

Do you have, or have you ever had breast cancer?

Are you currently experiencing any mental health problems or emotional difficulties? (e.g. little interest in doing things or feeling down, depressed, hopeless, nervous, anxious)

Can you always get and maintain an erection when you want one?

Do you have any known allergies to any medications or substances?

Do you use or have you ever used anabolic steroids?

Are you currently taking any prescription-only medications, alternative medications or recreational drugs?

Do you have any other health problems or conditions that you think we should know about?

Please select the pattern of your hair loss according to the chart below:

Choose an optionABCDEFGHIJKL

Have you lost any hair in other areas of your body such as eyebrows or beard?

Do you have an illness or skin condition that might explain your hair loss? (e.g. a disease causing weight-loss or fevers, or skin conditions such as psoriasis or ringworm)

Do you have any itchy or rough patches on your scalp?

How did your hair loss begin?

When did you first notice that you were losing your hair?

Have you noticed any new changes to your scalp? (e.g. redness, soreness, itching, flaking etc.)

Have you been diagnosed with Androgenic Alopecia (Male Pattern Baldness)?

Have you ever taken Finasteride/Propecia before?

Is there any other information you would like to share with us, to help our doctors make an informed and a fair decision?