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Hair Regrowth Quiz

Take this test for a basic understanding on whether or not we think your hair loss or thinning can improve naturally, based on the experience we have through our private practice!

Click the button below to start.

Start

Question 1 of 15

How long have you had hair loss?

A

Less than 5 years

B

Between 5-10 years

C

Between 10-20 years

D

Over 20 years

Question 2 of 15

Are you completely bald?

A

No, not yet. My scalp is still covered in hair even though my scalp may be visible in some spots

B

Yes, it happened over time on my scalp only and my scalp skin is super shiny

C

Yes, and I’m also bald all over my body (alopecia universals)

D

Yes, it happened over time on my scalp only but my scalp skin doesn’t feel soft or look shiny

Question 3 of 15

Did or do your parents suffer from hair loss or thinning? Did anyone else in your bloodline suffer from hair loss or thinning?

A

Yes

B

No

Question 4 of 15

Are you willing to take high doses of natural supplements and attempt to make changes in your diet if you were explained how it could dramatically increase your ability to reverse hair loss naturally?

A

Yes

B

No

Question 5 of 15

Are you on birth control or hormones of any kind?

A

Yes

B

No

Question 6 of 15

Has the shape or look of your skull changed in any way since you’ve had hair loss or thinning?

A

Yes it’s super shiny where the hair used to be and I am now completely bald there

B

Yes, my skull seems to have grown or expanded in certain areas

C

No, my scalp texture looks and feels the same except for changes to my hair

Question 7 of 15

Is your hair shedding at higher rates than what feels normal or Is it thinning in a pattern?

A

The hair shedding it out of control

B

It’s not shedding much but it is thinning out and that thinning is spreading

C

It’s unfortunately doing both

D

It isn’t shedding or thinning anymore but it’s already pretty thin and I’m not happy with how I look

Question 8 of 15

On a scale from 0-5, how quickly is your hair shedding advancing now?

A

0 (I don’t lose hair because I don’t have any)

B

1

C

2

D

3

E

4

F

5 (I’m losing hair at the highest rate I have ever seen and if I keep this up I’ll be bald soon)

Question 9 of 15

Have any of the following caused your hair loss or thinning?

A

Poor Diet or Food Sensitivities

B

Poor gut function or a low grade systemic infection (such as candida or h. Pylori)

C

Vitamin or mineral deficiency

D

Physical Stress (such as surgery, COVID, or drastic changes to diet or exercise)

E

Emotional Stress (such as trauma or life stressors such as moving)

F

Exposure to a drug or vaccine

G

Exposure to a toxicant (a product, a poison in your home like mold, heavy metals etc)

H

A hormone fluctuation (beginning your period, perimenopause, menopause, a thyroid disorder, PCOS, AGA, DHT,)

I

More than one of these

J

More than half of these

Question 10 of 15

Do you believe that reversing hair loss naturally has been done for others in the past and it could possibly happen for you too?

A

Yes, if there is a thoughtful and comprehensive approach that explains why this is happening to my body and a process exposing how to restore my body to normal, I can stand behind it

B

No, reversing hair loss is impossible unless you use drugs or surgery. I was told my hair loss is irreversible and I’m scared to believe otherwise because it’s not worth being potentially disappointed

Question 11 of 15

Has your scalp suffered from a third degree burn, a surgical incision, or a scalp infection in the area where you want to regrow hair?

A

No

B

Yes

Question 12 of 15

How Did You Hear About Saril Vasquez CFNC TCDP CEI & The Bellechanics (body mechanics) to Reversing Hair Loss Naturally?

A

THE REVERSING HAIR LOSS NATURALLY FACEBOOK GROUP

B

THE BELLECHANICS YOUTUBE CHANNEL (GO SUBSCRIBE!)

C

A PODCAST EPISODE (ON YOUTUBE)

D

AN AUDIO ONLY PODCAST EPISODE (ON SPOTIFY OR APPLE PODCAST ETC.)

E

LINKEDIN

F

FACEBOOK REEL

G

INSTAGRAM

H

NETWORKING EVENT

I

FOUND THROUGH ANOTHER SOCIAL MEDIA PLATFORM

J

The CONFIDENCE & BEAUTY Summit: REAL ROOT CAUSE RESOLUTIONS That Reverse Women's Hair Loss Naturally

K

MY SALON & HAIR DRESSER

L

OTHER

Question 13 of 15

REALISTICALLY SPEAKING... Considering that HAIR TAKES TIME TO GROW.. If reversing hair loss naturally is something you were committed to making happen, what would be the ideal scenario as a NEXT BEST STEP FOR YOU? Please note: this is just a question to gauge interest on the best solution for you at this time given your situation, not a direct link to purchase.

A

A 12 Month Coaching Program (one on one & group support) & Full Course Access For Holistic Healing where we teach skill sets that can lead to Balancing Hormones, Breaking Down Scar Tissue To Thicken Hair, Supporting The Gut, Increasing Libido, Improving Sleep, Reducing Inflammation, Improving Your Body's Ability to Detox, Improving Immune Function, etc. ALL WHILE REVERSING HAIR LOSS AND THINNING NATURALLY ( $4k worth OF SUPPLEMENTS & SHIPPING INCLUDED )

B

A 6 Month Coaching Program (one on one & group support) & Course Access For Holistic Healing where we teach skill sets that Balance Hormones, Break Down Scar Tissue To Thicken Hair, Support The Gut, Increase Libido, Improve Sleep, Reduce Inflammation, Improve Your Body's Ability to Detox, Improve Immune Function, etc. ALL WHILE REVERSING HAIR LOSS AND THINNING NATURALLY ($2K worth of SUPPLEMENTS and shipping INCLUDED)

C

A 2 Month Coaching Program FOCUSED ON GETTING HAIR TO DECREASE SHEDDING, Balancing hormones, Improving Sleep, Reducing Inflammation, Increasing Libido & Improving Immune Function (no supplements included, no balding or scalp visibility is reversed)

D

A Deep Dive Into Your True Root Cause Using A Detailed Intake Form And Several Rounds Of Questions. We end the Discovery Process with A 60-90 Minute Call Where I Share A Lifetime Timeline I created Of Your Health History (that you keep) in Addition to An Intricate Plan On How We Can Reverse Your Hair Loss Naturally Using Functional Medicine ($477)

E

A DIY Course That Teaches Your How To Regulate Your Body Into A Healing State Using At Home Tracking Tests While Teaching You How To Eat For Hair Regrowth ($197)

F

Nothing I was just curious and don't want to invest in my health & hair right now ;-/

Question 14 of 15

Please enter your Facebook Messenger Name and Your Telephone Number

 

We will send you a free book on what it takes to reverse hair loss naturally ;)

 

We will ask you to join OUR FACEBOOK GROUP "REVERSING HAIR LOSS NATURALLY" WHERE SARIL ANSWERS QUESTIONS ON HAIR LOSS REGULARLY!   

 

By providing your phone number you agree to recieve texts even if you are on the national do not call list*

Question 15 of 15

HEADS UP BELLECHANIC IN THE MAKING (a woman that masters her body mechanics to reveal her inner belle)...

 

On the screen after next (the final page) there is an offer to book an intro call with me so I can decode your symptoms and systems than need to be supported...

 

EVEN IF YOU DON'T INTEND TO BUY CLICK ON IT because there is a free 11 minute training on that page!

A

I am aware there is a DECODE YOUR HAIR LOSS SYMPTOMS BREAKTHROUGH SESSION being offered after I share my email. IF PURCHASED I will receive a detailed symptoms tracker to fill out and email back to Saril Vasquez CFNC TCDP CEI. She will chat with me for 30 minutes about what in the world could be causing my hair loss and thinning based on my symptoms. I AM INTERESTED IN PERSONALIZED ADVICE (especially at this one time discounted rate)!

B

I am aware that I will get notified the next time you host a free masterclass or a summit! AND I AM INTERESTED IN THAT!

Confirm and Submit