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5

Dry hair

No/never A little/rarely Moderately/sometimes Significantly/often Very much/always

4

Diffuse hair loss (hair falls out evenly across the entire surface of the head)

No/never A little/rarely Moderately/sometimes Significantly/often Very much/always

3

Dry, flaky skin

No/never A little/rarely Moderately/sometimes Significantly/often Very much/always

2

The tips of the fingers and heels are cracking and peeling.

No/never A little/rarely Moderately/sometimes Significantly/often Very much/always

1

Dull nail color, no shine

No/never A little/rarely Moderately/sometimes Significantly/often Very much/always