unROOTED studio

scalp

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what brings you in? (required)
what’s been going on:
what have you been noticing with your scalp or hair, if anything at all?
have you experienced any of the following? (select all that apply) (required)
have you experienced any skin or scalp conditions? (select all that apply) (required)
is your scalp sensitive or tender? (required)
any current scalp concerns I should be aware of before your appointment that were not already listed?
timeline:
have you noticed any changes after illness, stress, life changes? (COVID, fever, hormones, weight change, GLP-1) (required)
If you answered yes, when did this occur?
If you answered no | not sure, but you've noticed something still feels "off", when did you start noticing this?
anything else that feels relevant or you would like to share? (optional)
hair density (thickness):
how would you describe your hair's density (thickness)? (required)
have you noticed any changes in your hair density (thickness)? (required)
routine:
what are you currently using on your scalp/ hair? (required)
any known sensitivities or reactions to products?
how do you usually dry your hair? (required)
any habits that might affect your scalp? (multi-select) (required)
what kind of water do you typically wash your hair with? (required)
how often do you typically wash your hair? (required)
scheduling
what days or times typically work best for you?
how did you hear about me? (required)
If someone sent you my way, I’d love to know who
will this appointment be through Tradebank?
insight
any neck, back, or comfort considerations I should be aware of?
what are you hoping to get out of your appointment? (optional)
anything else that feels relevant or you’d like to share? (optional)
photos
upload photos of your scalp or hair if possible (if there are specific concerns)
JPG or PNG. We’ll upload it with your response. Selected — tap change to pick another.
JPG or PNG. We’ll upload it with your response. Selected — tap change to pick another.
Final step
Your contact details
We’ll use this to attach your responses.