Your name? Mobile Number Email id How old are you? Where did you hear from? GoogleFacebookYouTubeTwitterAdvertisementWebsite Which City are you from? Do you visit Mumbai often? I don't visit mumbaiI visit mumbai sometimesI am from mumbai How long have you been suffering from hair loss? Two YearsFour YearsSix YearsEight Years Have you done a hair transplant before? YesNo Have you gotten a hair system before? YesNo Do you ride a bike often? I don't ride bikesFew times a monthOnce a weekAlmost everyday How thick is your hair on the sides and at the back of your head? ThickModerate thicknessThin I am interested in : Non- surgical hair replacement / Hair systemNon- surgical hair replacement + Hairline Hair TransplantNon- surgical hair replacement + Scalp Micro PigmentationNot sure, looking for guidance Which method of attachment do you prefer? Full clip onSides -Clip on & front tapeFull stick -onNot sure, need guidance Which kind of hair system would you prefer? 1: Most NaturalFront hairline ( 4.5/5)Life : 3 - 4 monthsHair volume : light ( if front hairline is the priority , this will be the best option for you ) 2 : NaturalFront hairline( 3.5/5 )Hair volume : lightLife : 4 - 6 months (Hairline will be slightly natural but the life be more than type1 ) 3 : DurableFront hairline (⭐️ ⭐️ ⭐️)Hair volume : medium-heavyLife : 8 -12 months (most suitable for those who:1. Plan on choosing a hairstyle which covers their hairline2. Would prefer a longer lasting hair system which would be more cost effective3. Have a good amount of hair in the front, hence plan on using their natural hairline) What density (quantity of hair) would you prefer in a hair system? High density system lasting from 5-12 months, depending on the method of attachment Low density system lasting from 3-6 months, depending on the method of attachment Not sure, need guidance How soon are you looking for a solution? As soon as possibleIn the next two weeks.Within a monthNot urgent. What’s your budget? 30K-35K35K-40K40K-45K45K-50K50K -55K55K-60K Help us understand your hair loss (PS: You can skip this step if images are not available ) Please attach photos of your hair below. Make sure you wet your hair a bit for us to get an idea of your hair density Front view Back View Would you like to book a video consultation before you visit Mumbai? YesNo Would you like to book an in-person Consultaion in Mumbai? YesNo How would you like to go ahead with the treatment? I prefer a video consultation and I am comfortable placing the order online , and need your guidance where/how to fix in my city. I prefer a video consultation . Later , I will come to mumbai for the first fixing ( sticking one ) I prefer video Consultation for clip on system. You can deliver at my address and guide me. Send