Enable or download the Flash player to view this movie. If you are using an HTML editor then you wont see the Flash movie unless you preview this page in your browser.

Hair Loss Research Survey

   
 

Your Opinion Count!

 

Please help us with this hair loss survey. It will help others who suffer with hair loss problem. More importantly, it will help us serve you better on the effectiveness of hair loss treatments used in the market today

 

Your personal information is NOT collected to keep your identity anonymous.

Please fill in with the best option that describes your situation.  We greatly appreciate your participation by helping us to better serve your needs! 

 

 

 

Demographics
 
1) Your location:
City      
State    
Zip code
Country 
 
2) Gender?
Male Female
   

Less than 1 year  
1-2 years  
3-5 years  
6-10 years  
11-15 years  
16-20 years  
More than 20 years  
 
Position(s):
Bartender  
Dish/Pot Washer  
Cook/Chef  
Waiter/Waitress  
Lead Waiter/Waitress  
Manager  
 
Hours you work per week:
Less than 30  
30 - 40  
More than 40  
 
My Work Environment
 
 
  Strongly Agree Agree Neither Agree nor Disagree Disagree Strongly Disagree Not Applicable
I always have the supplies necessary to do my job well.
I am happy with my work schedule.
My work place is safe.
Every one works as a team to help make things run smoothly. 
 
Relationship With Co-Workers
 
 
  Strongly Agree Agree Neither Agree nor Disagree Disagree Strongly Disagree Not Applicable
I have good relationship with my co-workers. 
My co-workers are like family.
My co-workers treat me with dignity and respect.
We all help each other to get the job done.
 
Management
 
 
  Strongly Agree Agree Neither Agree or Disagree Disagree Strongly Disagree Not Applicable
I have good a relationship with my manager.
The managers treat everyone equally and fairly.
Management makes frequent positive and encouraging comments to
staff about job performance.
Managers pitch in to help direct staff when things get busy.
 
Management deals with me in an open and honest manner.
My manager cares about my personal development.
Expectations of job performance are the same for all employees.
Management conducts business honestly.
 
 


 
 
 
 

                                                                                                                                                                                                         

 

 

.

 

 

Your Opinion Count!
  Your personal information is NOT collected to keep your identity anonymous.

Please fill in with the best option that describes your situation.  We greatly appreciate your participation by helping us to better serve your needs! 

1) Your location details

 

 City

 State

 Zip Code

 Country

   
2) Gender?

 
Male Female
3) What is your age range?

 
Less than 18
18 - 24
25 - 34
35-49
50 - 64
65 plus

 
 
4) Have you noticed hair loss in the last 12 months?

Yes No
 
5) Your hair loss is caused by which of the following?

Heredity  
Medical Condition
Stress  

Other

      (please specify)
      

6) What hair loss products have you used in the last 12 months?

 

Hair Transplant

Non surgical custom hair replacement

Wigs

Medication/Rogaine/Propecia

Vitamins; special shampoos; etc

Laser

None of the above

      (please specify)
      

 
 
 
7) Do you think that any of the following cause hair loss?

Over- brushing   Shampooing too much  Wearing a hat  
 
8) Where did you first seek advice, once you noticed you were loosing hair?

 
Family doctor  Dermatologist  Hair transplant surgery specialist 
Hair stylist   Hair replacement center  Friend or family member
Other (please specify)
    
 
 
9) Do you feel that hair loss effects your social life?

 
Yes No
 
10) Do you think that hair loss affect your career?

 
Yes No
 
11) Would you be concerned if you were experiencing noticeable hair loss and...

 
 Recently divorced
 Dating
 Seeking a job
 Starting a new job  
 At my present job
 
12) If you have done hair transplant, how strongly would you recommend the process to your family and friends?

 
Would strongly recommend
Would recommend
Would somewhat recommend
Would not recommend at all
13)

Which product below gave you best results "as described" upon use?

Hair Transplant

Non surgical custom hair replacement

Wigs

Rogaine medication

Propecia medication

Vitamins; special shampoos; etc

Laser

None of the above

      (please specify)
      

 
14) Of the following products, which would you choose for future use?

 

Hair Transplant

Non surgical custom hair replacement

Wigs

Medication / Rogaine / Propecia

Vitamins; special shampoos; etc

Laser

None of the above

      (please specify)
      

 
 
Thanks for completing our hair loss research survey.  Did you know? More research on hair loss has been conducted by Nu Hair and Transitions members around the world than any other hair loss group. Your input is valuable and will help us serve you better. 

 

http://www.hairsite2.com/library/article238.htm

 

 

 

Please help us with this survey. This will help many who have trouble 
locating Avodart. More importantly, it will serve as a very informative database about
Avodart's effectiveness as a hair loss treatment.