Complimentary Hair Assessment
Healthier, fuller-looking hair starts at the scalp.
Thinning, shedding or scalp irritation? Take our complimentary hair & scalp assessment and receive personalized recommendations from Nakota MediSpa's certified hair loss practitioner.
Hair & Scalp Assessment Questionnaire
Hair thinning, excessive shedding, scalp irritation, and loss of density can happen for many different reasons — stress, hormones, scalp imbalance, nutrition, inflammation, medications, or changes within the hair growth cycle.
At Nakota MediSpa, we take a personalized and holistic approach to hair and scalp health. Instead of guessing or recommending random products, we begin by understanding what may be contributing to your hair concerns at the scalp and follicle level.
This complimentary assessment helps identify patterns related to:
- Hair thinning and shedding
- Scalp health and irritation
- Hormonal and stress-related triggers
- Product buildup and scalp imbalance
- Lifestyle and hair care habits
Your answers will help us determine whether you may benefit from customized scalp therapy, mesotherapy, hair regrowth treatments, or a personalized hair wellness plan.
Once submitted, you may be invited for a complimentary consultation to discuss your results and treatment options.
Complete the assessment below to take the first step toward healthier, fuller-looking hair.
Holistic Approach
We treat the root cause, not just the symptom.
Customized Plans
Mesotherapy, scalp therapy & regrowth treatments.
Certified Practitioner
Reviewed by Anu Bhalla, Certified Hair Loss Practitioner.
Step 1 of 5
Section 1 – About You
What age range are you?
Where did you find us?
Your information is kept private and used only to help us better understand your hair and scalp concerns. Please expect a phone call from Anu Bhalla, Certified Hair Loss Practitioner at Nakota MediSpa. You can also text (SMS) or call at 613-761-8704.