Avimee Scalp Health Test - Quiz Questions

This comprehensive assessment helps identify the root causes of your hair and scalp concerns. Answer all questions to receive personalized recommendations.

Question 1: Name

Question Type: TEXT_INPUT

Categories: Patient Profile

  • Image option: null (Your Full Name)

Question 2: Age

Question Type: SINGLE_CHOICE

Categories: Patient Profile

  • 18-25 Years
  • 26-35 Years
  • 36-45 Years
  • 45+ Years

Question 3: Gender

Question Type: SINGLE_CHOICE

Categories: Patient Profile

  • Male
  • Female
  • Others

Question 4: What is your scalp type?

Question Type: SINGLE_CHOICE

Categories: Patient Profile

  • Dry
  • Oily
  • Normal
  • Sensitive

Question 5: Contact Details

Question Type: TEXT_INPUT

Categories: Patient Profile

  • Image option: null (Phone Number)

Question 6: Have you experienced any of the following recently?

Question Type: MULTI_CHOICE

Categories: Symptom Screening

  • Excessive hair fall on combing/shower (>100 strands/day)
  • Pregnancy
  • Itchy or flaky scalp
  • Hair is brittle or breaks easily
  • Recent illness (fever, dengue, COVID)
  • Period irregularity / PCOS symptoms (female)
  • Sudden weight gain or loss
  • Frequent stress/anxiety
  • Bloating / acidity / digestive issues
  • Fatigue or weakness

Note: This question appears conditionally based on previous answers

Question 7: Have you experienced any of the following recently?

Question Type: MULTI_CHOICE

Categories: Symptom Screening

  • Excessive hair fall on combing/shower (>100 strands/day)
  • Visible scalp or thinning
  • Itchy or flaky scalp
  • Hair is brittle or breaks easily
  • Recent illness (fever, dengue, COVID)
  • Sudden weight gain or loss
  • Frequent stress/anxiety
  • Bloating / acidity / digestive issues
  • Fatigue or weakness

Note: This question appears conditionally based on previous answers

Question 8: How much do you sleep each night?

Question Type: SINGLE_CHOICE

Categories: Targeted Diagnostic Cues

  • <5 hrs
  • 6–7 hrs
  • 8+ hrs

Question 9: Do you bathe with borewell or tanker water?

Question Type: SINGLE_CHOICE

Categories: Targeted Diagnostic Cues

  • Yes
  • No
  • Not Sure

Question 10: Area of hair loss

Question Type: MULTI_CHOICE_IMAGE

Categories: Targeted Diagnostic Cues

  • Diffused
  • Frontal
  • Crown
  • Patchy
  • Receding hairline

Question 11: For how long you have been suffering from hair fall?

Question Type: SINGLE_CHOICE

Categories: Targeted Diagnostic Cues

  • Less than 3 months
  • 3–6 months
  • >6 months

Question 12: Do you have family history of baldness?

Question Type: SINGLE_CHOICE

Categories: Targeted Diagnostic Cues

  • Yes
  • No

Note: This question appears conditionally based on previous answers

Question 13: Do you suffer from acne or facial hair?

Question Type: SINGLE_CHOICE

Categories: Targeted Diagnostic Cues

  • Yes
  • No

Note: This question appears conditionally based on previous answers

Question 14: Do you tie your hair tight?

Question Type: SINGLE_CHOICE

Categories: Targeted Diagnostic Cues

  • Yes
  • No

Note: This question appears conditionally based on previous answers

Question 15: Are you vegetarian or have low protein intake?

Question Type: SINGLE_CHOICE

Categories: Targeted Diagnostic Cues

  • Yes
  • No

Question 16: Which option best matches your current hair condition?

Question Type: SINGLE_CHOICE_IMAGE

Categories: Self Evaluation

  • Stage 1
  • Stage 2
  • Stage 3
  • Stage 4

Note: This question appears conditionally based on previous answers

Question 17: Which option best matches your current hair condition?

Question Type: SINGLE_CHOICE_IMAGE

Categories: Self Evaluation

  • Stage 1
  • Stage 2
  • Stage 3
  • Stage 4
  • Stage 5
  • Stage 6 and Above

Note: This question appears conditionally based on previous answers