Questions 2

Because of the Study products I have used since the start of the study I have noticed new hair growth. *

Agree

Strongly Agree

Disagree

Strongly Disagree

Since the start of the study, I can see my areas of hair thinning or hair loss filling in. *

Strongly disagree

Disagree

Agree

Strongly Agree

Compared to the beginning of the study, how satisfied are you with with the appearance of the hair line on sides (temple area) of your head? *

Very satisfied

Satisfied

Dissatisfied

Very dissatisfied

Compared to the beginning of the study, how satisfied are you with the appearance of the hairline on the front of your head?: *

Very satisfied

Satisfied

Dissatisfied

Very dissatisfied

Is there anything you would like to say, share, question or comment on about the products or your experience using the products? (Please make sure to mention which product you are talking about.)

Please list 1 to 3 words or phrases that best describe your product use experience thus far. *

Since the start of the study I feel I am losing more hair than before the study. *

Agree

Strongly Agree

Disagree

Strongly Disagree

Since the start of the study how often have you used the Shampoo? *

Everyday

Every other day

1 to 2 times per week

1 to 2 times per month

Haven’t used it yet

Name: *

Since the start of the study I feel I see less of my scalp? *

Agree

Strongly Agree

Disagree

Strongly Disagree

For the Term you have been in the study you have used....the (please check all that apply) *

Shampoo

Foam

Conditioner

Prescription Hair Growth Gel

Because of the study products I have received since the start of the study, the appearance of my hair is: *

Much Better

Better

The same

Worse

Much Worse

Compared to the beginning of the study, how satisfied are you with the appearance of your hair overall? *

Very Satisfied

Satisfied

Dissatisfied

Very Dissatisfied

Compared to the beginning of the study, how satisfied are you with the appearance of the hair on top of your head? *

Very satisfied

Satisfied

Dissatisfied

Very dissatisfied

Since the start of the study How often have you used the Conditioner? *

Everyday

Every other day

1 to 2 times per week

1 to 2 times per month

Haven’t used it yet

Since the start of the study I feel I have more hair *

Strongly disagree

Disagree

Agree

Strongly Agree

As of today, have you received the prescription bottle from the Study Sponsor? *

YES

NO

Ever since the start of the study, how effective do you think the treatment has been so far in slowing down your hair loss? *

Effective

Not Effective

Mildly Effective

Highly Effective

For about how long have you been in this study? *

Approximately 30 days

Approximately 60 days

Approximately 90 days

Approximately 120 OR more days

Because of the study products I have used since the start of the study, my hair seems to be growing *

YES

NO

Since the start of the study how often have you used the Foam? *

Everyday

Every other day

1 to 2 times per week

1 to 2 times per month

Haven’t used it yet

Ever since the start of the study, how would you describe the growth of your hair? *

Greatly Decreased

Decreased

Increased

Greatly Increased