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Hair Fall Questionnaire. Web hair loss questionnaire name:_________________________________________________________ dob:. How long have you had hair loss?
(circle one) better worse same. Web hair evaluation methods are grouped into three main categories: Diffuse shedding or diffuse thinning 1.
Do you feel you have been shedding an excessive number of hairs? (in the shower, tub , on the counter or on your. (circle one) better worse same.
How long have you had hair loss? Web hair evaluation methods are grouped into three main categories: Since that time, how has your hair loss been?
(check all that apply) diffuse shedding: Web hair loss questionnaire what best describes your type of hair loss?
