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Male Hair Restoration Patient Survey

Thank you for your continued support. Please fill out the survey below. We will be using your answers for our Hair Transplant Reviews page. We are trying to make it as easy as possible for you to share your story.
We will be using before and after photo’s and your written review from the questions below.

Also below, you will also find a release allowing us to use all the information in this survey. Please agree to the consent at the bottom of the page.

Your success is our success. Thanks for allowing us to share this with others.

CONSENT FOR USING PHOTOGRAPHS AND TESTIMONIALS
I understand that for educational and occasional marketing purposes, Hair Transplant photos before and after and testimonials are to be used on the Internet Hair Transplant Network.