questions – Treto | Root-Cause Hair Loss Solutions with Ayurveda, Dermatology & Nutrition

Before we start, can we get your name

Phone Number

How Old Are You?

Gender

Male

Female

How Much HairFall Do You Experience While Oiling, Combing Or Washing Your Hair ?

I Notice A Bigger Clump Than Normal 40-50 Strands

I Get Very Big Clumps of Hair, More Than 100 Hair Strands

Normal HairFall – 20 Strands

Where are you noticing loss?

Front only

At the top of the head only

Both front and top of the head

Do you have a family history of hair loss?

Mother or anyone from mother’s side of the family

Father or anyone from father’s side of the family

Both

None

How long have you been experiencing increased hairfall ?

Less then 6 month

6 month to 2 years

2 years to 5 years

More than 5 years

Not Applicable

Do you have a dandruff?

Mild dandruff (small white flakes)

Heavy dandruff (sticky dandruff found in nails on scratching or visible on clothes)

Diagnosed with Psoriasis / Seborrheic Dermatitis A skin condition that causes red, dry patches on your scalp.

What is your current hair volume like?

Hair Volume has not changed much

Hair volume has reduced, but no thinning in any specific area

Hair volume has reduced, with overall thinning

Hair volume has reduced, with front or side thinning

Middle or Side partition is widening and some scalp is seen

Partition has widened a lot, and scalp is clearly visible

Seeing coin sized bald patches on my head

What does your hair feel like, when you touch it?

Split ends

Frizzy, Rough or Dry

Feel frizzy , dry , or rough to touch

Breaks easily

Sometime Sot/Silky , sometimes Rough / Frizzy

What hair treatments have you done in the past 2 years?

None

Smoothening or Straightening – Keratin / Nanoplastia / Botox / Cysteine / Rebonding

Hair repair treatment – Olaplex / Protein

Chemical hair coloring – Highlights/full hair / permanent/semi-permanent

Natural hair coloring – Henna

Anti hair loss treatment – PRP/Chemical hair growth serums/radio frequency(RF)

What is your experience with dandruff these days?

No Dandruff at all

No Dandruff on wash day, but appears 2-3 days after

Always see visible dandruff flakes or powder around hair or shoulder

Scalp is always itchy with sticky dandruff under nails upon scratching

I have psoriasis or seborrheic dermatitis

Is hair loss a genetic issue in your family?

Yes, my mother or mother’s side of family

Yes, my father or father’s side of family

Both sides of the family

No, not a genetic issue

How well do you sleep

Very peacefully for 6–8 hours

Disturbed sleep (wake up multiple times at night)

Difficulty falling asleep

How stressed are you?

None

Low

Moderate (work, family etc)

High (Loss of close one, separation, home, illness)

Which of these do you tend to experience?

I have acne located along the jawline or chin

I have excessive facial hair

I have irregular periods

I have PCOS

None

Do you feel constipated?

No/Once in a while

Yes (fewer than 3 stools a week)

Unable to pass stool properly / feeling unsatisfied after passing stools

Suffering from Irritable Bowel Syndrome

Are you going through any of these life stages currently?

Planning to get Pregnant sometime soon

Currently Pregnant

Post Pregnancy – My baby is less than 1 year old

Menopause – I don’t get my periods anymore

None

Do you have Gas, Acidity or Bloating?

Yes

Have you experienced any of these in the last 1 year?

I gained or lost a lot of weight

I suffered from severe illness (Dengue, Malaria, Typhoid)

I had a surgery

I was on heavy medication

I moved to a new location or my water supply changed

My hair is greying

None

How are your energy levels during the day?

Always high / Normal energy levels throughout the day

Low when I wake up, then gradually increase

Low by evening/night

Always low

Which of these best describe your stomach/digestion issues these days?

I have no stomach discomfort and bowel movements are mostly regular

I often feel bloated or gassy (frequent burping/farting/heavy stomach)

I am often constipated (kabz)

I often have diarrhoea (loose motions)

I have acidity (khatti dakaare/burning sensation in stomach/throat/chest)

I have serious gut issues (Irritable bowel syndrome/Gastric-peptic ulcers)

How well do you sleep these days?

Peacefully for 6-8 hours

I have difficulty falling asleep

Disturbed sleep, I wake up atleast once a night

I sleep for less than 5 hours, as I am very busy

It varies – somedays I get good sleep, somedays I don’t

How would you describe your stress level these days?

I feel calm and relaxed most days, with no major worries.

I feel tensed 1-2 times a week, but it’s manageable.

I feel tensed 3-5 times a week, and it affects my mood or focus.

I feel tensed almost every day, and it disrupts my sleep or daily life.

How would you describe your typical energy during the day?

I always feel energetic

Energetic during the day, but low/tired by evening/night

Low/tired when I wake up, but gradually feel more energetic

Experience occasional instances of low energy

I always feel tired and low on energy

Are you currently taking any supplements or vitamins for hair?

Yes

Do you have blood pressure problame?

None

Yes, heigh BP issue

Yes, Low BP issue

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