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Name

This field is for validation purposes and should be left unchanged.

A 2-Minute Assessment

Find the right hair restoration treatment for you.

A short, clinically-guided assessment. We'll match you with a medical treatment plan from our GMC-registered surgical team.

2 Minutes

A few quick questions

Confidential

Reviewed by UK doctors

Personalised

Real recommendation

What kind of hair loss do you have?(Required)

Temples

Temples & Crown

Moderate

Extensive

Patchy

Complete

How long have you been experiencing hair loss?(Required)

Less than 1 year ago

1-5 years ago

More than 5 years ago

I'm not sure

What is your ethnicity?(Required)

White

Black, African, Caribbean

Asian

Mixed or multiple ethnic groups

Prefer not to say

Does hair loss run in your family?(Required)

Yes

Not sure

Why are we asking? Hair loss often runs in families and is usually hereditary. If an immediate family member has experienced hair loss, there's a higher chance it could affect you too.

What results were you hoping for?(Required)

Regrow my hair

Prevent further hair loss

Both regrowth and prevention

How often do you feel stressed?(Required)

Rarely

Sometimes

All the time

Unsure

Why are we asking? Stress can have a significant impact on your hair. It can trigger or worsen a temporary condition called telogen effluvium, which disrupts your hair's natural growth cycle.

Date of Birth(Required)

Day

Month

Year

We ask this to make sure you are 18+

Are you experiencing any of the following symptoms on your scalp?(Required)

Pain/itching/burning/bumps

Red rinds or rashes

Dandruff

Psoriasis or eczema

No (none)

Do you have an allergy or intolerance to any of the following?(Required)

I am allergic to minoxidil

I am allergic to finasteride

I have a lactose intolerance or allergy

I am not allergic to any of the above

Finasteride tablets contain very small amounts of lactose…(Required)

I can’t tolerate any amount and want non-lactose options only

I can tolerate very small amounts of lactose

What's your biological sex?(Required)

Are any of the following true?(Required)

Hair loss on other areas of body (not head)

PSA monitoring / prostate cancer history

Diagnosed high or low blood pressure

Diagnosed asthma

Planning to try for a baby in the next 12 weeks

Previously/currently depression/anxiety/panic disorders

Chronic kidney disease

Phaeochromocytoma

Heart issues

Breathlessness/chest pain after exertsion

No – none

Do you have any major illness, ongoing medical condition, operation, allergy to medication, or take any prescribed/OTC medication you need to tell us about?(Required)

Yes

Please provide details (condition, meds, doses, dates)(Required)

What’s most important to you when choosing a hair loss product?

Effectiveness

Minimal side effects

Scalp-friendly options

All the above

Firstly, do you agree and consent to the following?

Please read each statement carefully — your tickbox below confirms you agree to all of them before continuing.

✓ I am male, between 18 and 65 years old, and live in the UK.
✓ I am completing this consultation for myself and will be the sole user of any medication prescribed.
✓ All answers I provide during this consultation will be true and complete to the best of my knowledge. I understand that giving inaccurate information could put my health at risk.
✓ I confirm I am experiencing male pattern baldness, also known as androgenetic alopecia.
✓ I understand that the prescriber may decide I am not suitable for treatment, and that any decision will be made at their clinical discretion.
✓ I understand that minoxidil 10% spray, minoxidil with topical finasteride, oral minoxidil and the All-In-One capsule may be prescribed as unlicensed products, and I will read and understand what this means before treatment is supplied.
✓ I will inform Harley Street Hair Transplant Clinic or my GP if I begin to experience low mood, depression or suicidal thoughts while on treatment.
✓ I will inform the clinic of any changes to my medical history so my prescriber can re-assess my suitability where needed.
✓ I agree to read and accept the Terms & Conditions and Terms of Sale, including the cancellation, refund and data-handling policies, before placing an order.

Your consent will be recorded when you submit this consultation. You can withdraw consent at any time by contacting the clinic.

Consent & declarations(Required)

I agree and consent to all of the statements above.(Required)