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We never share your data.

You’re covered by our advanced data protection at all times.
Read our Privacy Policy to learn more.

Personal information & health profile

What’s your name?

Nice to meet you, {{_name}}! Let’s set up some basic information to create a baseline for your hair regrowth, based on our clinical trial data and the success of our customers.

What’s your niostem email address?

What is your birthdate?

What was your sex at birth?

--Select--

male

female

Many females are losing hair as they age, and it’s even more stigmatized than in men. You’re in great company as we’ve worked with women of all ages. Niostem might be the last solution you try – as we aim to support you to reverse your hair loss.

Almost 90% of men experience hair loss and hair thinning as they age. You’re in great company as we’ve worked with men of all ages. niostem might be the last solution you try – as we aim to support you to reverse your hair loss.

How would you describe your stress levels?

--Select--

low

moderate

high

Do you smoke?

--Select--

Yes, regularly

Yes, occasionally

Are you following a special diet?

--Select--

vegetarian

pescatarian

vegan

ketogenic

religious restrictions

calorie restriction

fasting

other

Please specify

How would you describe your nutrition?

--Select--

Very balanced (e.g., consistent intake of fruits, vegetables, proteins, and healthy fats)

Moderately balanced (e.g., some healthy choices, but occasional processed or unhealthy foods)

Inconsistent (e.g., irregular meals, frequent fast food, or low nutrient variety)

Poor (e.g., primarily processed foods, little to no fruits or vegetables)

Are you taking any supplements (vitamins, minerals, etc)

--Select--

Multivitamin

Calcium

Magnesium

Zinc

Biotin

Collagen

Omega 3

other

Please specify

How many hours of sleep do you get on average per night?

--Select--

Less than 6 hours

6-8 hours

more than 8 hours?

How often do you exercise?

--Select--

Rarely

occasionally

regularly

Have you had a blood test within the last 6 to 12 months?

--Select--

yes

Please share the results

Your blood test

doc,docx,mpg,mpeg,mp3,mp4,odt,odp,ods,pdf,ppt,pptx,txt,xls,xlsx,jpg,jpeg,png,psd,tif,tiff

Thank you! We’ll use these data to set up your Protocol and provide advice throughout your regrowth journey, helping you understand how your lifestyle choices can enhance your results.

Before we focus on your hair, please let us know if you have any health conditions that could impact hair growth.

Do you have any diagnosed medical conditions?

Please give details

Do you suspect you have an undiagnosed medical condition?

Please give details

Do you have any medical conditions that could impact your hair health?

--Select--

No known conditions

Skin-related conditions (e.g., eczema, psoriasis, dermatitis)

Hormonal imbalances (e.g., thyroid disorders, PCOS)

Autoimmune disorders (e.g., alopecia areata, lupus)

other

Please specify

How would you describe your current hair care routine?

--Select--

Minimal (e.g., basic washing with shampoo, little to no additional care)

Moderate (e.g., regular washing, occasional use of conditioners or treatments)

Extensive (e.g., daily washing, regular use of styling products, heat tools, or treatments)

Autoimmune disorders (e.g., alopecia areata, lupus)

Specialized (e.g., specific products for hair loss, scalp treatments, or professional hair care routines)

Do you have any allergies that could affect your scalp or hair treatments?

--Select--

No known allergies

Mild allergies (e.g., seasonal, mild reactions to certain products)

Moderate allergies (e.g., some reactions to skincare or hair products)

Severe allergies

other

Please specify

Are you currently taking any medications?

--Select--

No medication

Hormonal treatments (e.g. testosterone, birth control, HRT)

Blood pressure or heart medications

Hair loss treatments (e.g., finasteride, minoxidil)

other

Please specify

Have you recently ceased any medications within the past 6 to 12 months?

--Select--

yes

Please specify

Great! We’ve established your health and wellness baseline to determine how quickly niostem can support your hair regrowth.

Did you know that dihydrotestosterone (DHT) is one of the key factors driving the progressive miniaturization of hair follicles in pattern baldness? Increased sensitivity to DHT at the hair follicle disrupts the function of hair stem cells, the essential drivers of hair growth.

🏃🏽‍♂️ Health Profile

In order to set up the right hair growth protocol, let’s now focus on your current hair profile to predict your hair regrowth rate.

For how long have you been experiencing hair loss?

--Select--

Less than 6 months

6 months to 1 year

1 to 2 years

2 to 5 years

5 to 10 years

More than 10 years

For how long have you wanted to regrow your hair?

--Select--

Less than 6 months

6 months to 1 year

1 to 2 years

2 to 5 years

5 to 10 years

More than 10 years

How much does hair loss affect your everyday life?

--Select--

It doesn’t affect me at all

It has a minor impact (e.g., I notice it but it doesn’t affect my confidence)

It has a moderate impact (e.g., I feel self-conscious or frustrated sometimes)

It has a significant impact (e.g., it affects my confidence and social interactions)

It greatly impacts my daily life (e.g., it is a major concern and affects my self-esteem)

What is your primary motivation to regrow your hair?

--Select--

To improve my self-confidence

To look younger or restore my previous appearance

For professional reasons (e.g., better appearance in the workplace)

To improve my social or dating life

other

Please specify

Do you have a specific timeline for seeing results?

--Select--

No specific timeline, I’m flexible

I’d like to see results within 6-12 months

I’d like to see results within 12-18 months

Our clinical trials show that with niostem you can expect measurable improvements in just 3-6 months—and with zero side effects. Our approach aims at stopping hair loss, reactivating hair follicles, and promoting thicker, stronger hair over time.

Noticeable results might take some time, and you may see stronger and thicker hair already within the first 6 months. To see how fast you can expect progress, we‘ll focus on your current hair care, and hair profile.

Have you consulted a medical practitioner, trichologist, dermatologist or other about your hair loss?

--Select--

yes

Please provide details of the diagnosis and treatment plan you received.

Please upload details of the diagnosis and treatment plan you received.

doc,docx,mpg,mpeg,mp3,mp4,odt,odp,ods,pdf,ppt,pptx,txt,xls,xlsx,jpg,jpeg,png,psd,tif,tiff

Have you tried any hair treatments in the past to address hair loss or improve hair health?

--Select--

No, I haven’t tried any treatments before.

Yes, I’ve tried over-the-counter hair products (e.g., shampoos, serums, vitamins).

Yes, I’ve used prescription treatments (e.g., finasteride, minoxidil).

Yes, I’ve undergone medical treatments (e.g., hair transplants, PRP therapy).

If you tried any hair loss treatment(s), how long has passed since you stopped them?

--Select--

Less than 1 month

1 to 3 months

3 to 6 months

More than 6 months

I’m currently the treatment(s)

Are you currently using any treatments for hair loss or hair care?

--Select--

No treatments at the moment.

Finasteride

Minoxidil

Dutasteride

PRP

Microneedling

Laser therapy

Hair transplantation

other

Please specify

Do you plan to continue using any of these treatments along with niostem?

--Select--

Yes, I plan to use them alongside niostem.

No, I will stop these treatments and only use niostem.

MinoxidilI’m not sure yet, but I might decide after seeing results with niostem.

other

Please specify

Solving hair loss is a marathon, not a sprint niostem is there for every step of the journey

“After using the niostem headset for 6 months I can feel my hair is stronger”

💇🏽 Hair Baseline

Let’s now understand your hair and scalp health baseline.

How would you describe your hair texture?

--Select--

Thick and dense

Thick but sparse

Thin but dense

Thin and sparse

How would you describe your hair growth pattern?

--Select--

Even hair growth across the scalp

Receding hairline (e.g., temples, forehead)

Thinning at the crown or top of the head

Diffuse thinning across the entire scalp

Patchy or localized hair loss (e.g., spots)

How would you best describe the overall health of your hair?

--Select--

Healthy and shiny

Dull and lifeless

Split ends or breakage

Weak and brittle

Dry and frizzy

How would you best describe your scalp?

--Select--

Oily (produces excess oil)

Dry (flaky, itchy)

Balanced (neither oily or dry)

Prone to inflammation (red, irritated, painful)

Prone to dandruff

Do you experience any skin conditions on your scalp?

--Select--

No, my scalp is generally healthy

Sensitive skin (easily irritated by products or treatments)

Eczema

Psoriasis

other

Please specify

“As a cell biologist, I understand the critical role of scalp health, overall well-being and healthy habits in order to effectively promote hair regeneration.”

Dr. Carlos Chacón niostem Founder & Cell Biologist

What’s your current hair length and style?

--Select--

Bald

Very short (e.g., buzz cut)

Short/Medium

Long

How would you describe your recent hair loss?

--Select--

I haven’t noticed any recent hair loss

Mild, gradual thinning over time

Moderate hair loss (e.g., noticeable hair in shower or comb)

Rapid or severe hair loss in a short period

Patchy or spotty hair loss recently

Do you have a family history of hair loss (both paternal and maternal)?

--Select--

No family history of hair loss

Yes, on my father’s side

Yes, on my mother’s side

Yes, on both sides

Not sure

Where do you think you fall on the Hamilton-Norwood scale for hair loss?

--Select--

Stage 1: No visible hair loss

Stage 2: Minor recession of the hairline

Stage 3: More pronounced recession at the temples, thinning is visible

Stage 4: Significant hair loss at the crown and/or hairline

Stage 5: Large areas of hair loss at the crown and hairline

Stage 6: Extensive hair loss across the top of the scalp

Stage 7: Only a thin band of hair remaining

Start Follicle Activation

Stop Hair Loss

Visible Changes

Fuller Growth & Maintenance

Thanks for your information.

For your hair profile, we do not have sufficient clinical information. Many of your hair follicles might already be degenerated, and it might take very long to regrow (partially) your hair. Unfortunately, we won’t be able to make your Hair Regrowth Protocol.

Please get in touch for more information: support@niostem.com

💡 Hair Growth get’s visible through more scalp area coverage, which results from higher density and increased thickness.

With niostem, you will get control to gradually reactivate your dormant hair follicles, and increase your hair volume. It‘s really in your hands and like so many things in life — use it consistently, or lose it.

Are you committed to investing 30 minutes per day in your hair care routine? At least 6 days per week will regrow your hair, while 5-4 days per week means you’ll stop hair loss and will maintain what you have. With less than 4 days a week you will keep losing hair.

--Select--

Yes, I’m fully committed to use niostem at least 6-7 days per week

No, I can’t commit to a schedule at this time

You can still use niostem, but please remember: it is in your hands. Just like an exercise plan, it’s about consistency. Just download our app, and get started. 4-5 days per week usually maintain the status quo. If you can commit to our protocol and use niostem 6-7 times per week, feel free to restart the calculator to get your personal Hair Regrowth Protocol.

What time of day do you prefer to invest this time?

--Select--

Mornings (before starting my day)

Midday (during lunch or breaks)

Evenings (after work or daily activities)

I’m flexible and can adjust based on the day

📋 Your Protocol

Your hair regrowth protocol will be ready in 15 Seconds!

We empower you to take control of your journey through consistency. You’re all set to start reversing your hair loss. When you’re satisfied with your progress and results, you can start the “maintenance” mode.

Pro Tip: Set yourself a reminder in the niostem app. It‘s 37,3% more likely to maintain your niostem Hair Regrowth Protocol and regrow your hair if you have a calendar reminder.

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