Formulaire de Consultation - Dr. Yetkin Bayer

Consultation Gratuite

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FREE
HAIR ANALYSIS

100% free & non-binding

PLEASE CHOOSE
YOUR GENDER

Female

Male

HOW WOULD YOU DESCRIBE YOUR
HAIR LOSS?

Receding hairline small

Receding hairline big

Crown

Big crown

Light bald head

HOW WOULD YOU DESCRIBE YOUR
HAIR LOSS?

Receding hairline

Crown

Big crown

Light bald head

WHAT IS YOUR HAIR COLOR?

Blonde

Brown

Red

Black

WHAT IS YOUR HAIR COLOR?

Blonde

Brown

Red

Black

SINCE WHEN DO YOU SUFFER FROM
HAIR LOSS?

Or type it:

< 1 Year

> 10 Years

YOU ALREADY HAD
A HAIR TRANSPLANT?

Yes

No

YOU ALREADY HAD
A HAIR TRANSPLANT?

Yes

No

HOW BAD DO YOU FEEL ABOUT YOUR CURRENT
HAIR SITUATION?

Really bad

Bad

Average

Not that bad

WHEN WOULD YOU LIKE TO HAVE A
HAIR TRANSPLANT?

As fast as possible

In the next 3 months

In the next 12 months

I only want information

ALMOST THERE...

Who should receive the free hair analysis?

I've read the Privacy policy and accept them.

Next

ONLY ONE LAST STEP ...

In order to allow an accurate hair analysis, we still need photos of your current hair situation.

From the front Upload a photo of the front of the head as seen on the picture above.

From the back Upload a photo of the back of the head, as seen on the picture above.

From the top Upload a photo of the top of the head, as seen on the picture above.

Thank You, Send Messages...