Before using Prohibere, please answer the following

Where do you pull from
How Long Have you had Trichotillomania? *
How long does a pulling episode last? *
How long does you spend pulling hair on average ?
Do you feel an urge or itch sensation before pulling that you must alleviate? *

Results of this survey are anonymous

This form is for research data purposes only and will not be disseminated for any reason.