Hair Designers of Houston
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(281) Get-Hair
(281) 438-4247
1-800-260-6353
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Please Tell Us About Yourself
Name
Address
City, State, Zip
Email
Phone
Best Time To Contact
How Long have you been losing you hair?
1-3 years
3-7 years
7-15 years
More than 15 years
Gender:
Male
Female
How would you rate your current rate of hair loss?
Light
Moderate
Heavy
Have you experienced an increase in your rate of hair loss in the past year?
Yes
No
Have you ever tried to do anything about your hair loss?
Rogaine
Hair Transplant
Hair Pieces
Shampoos
Nothing
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6420 Richmond Ave # 107 |
Houston, TX 77057 |
(713) 781-2940
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