Market Research Survey

What YOU want

Please take a few minutes to tell us what you want from a skin care
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Gender

MaleFemaleN/A
Age*

15 - 2020 - 3030 - 4040 - 5050 - 6065 +
Are you concerned with ageing?

YesNo
Which area's are you concerned with?

Crow's feet ( lines at corner's of eyes)Lines around the lipsUnder eye bagsWrinkles and lose skin around the neckFrown / forhead linesPigmentationAcne scaring
Do you know about facial peel's?

YesNo
Would you undergo peeling treatment's?

YesNo
Do you know about collagen induction therapy? (Dermal needeling)

YesNo
Would you under go collagen induction therapy?

YesNo
Do you want to know about peeling and needeling?

YesNo
Do you have a current skin care routine?

YesNo
How many steps would you take to care for your skin daily?

1 - 33 - 5
Do you exfoliate and apply a mask weekly?

YesNo
Do you have regular facials?

YesNo
If you answered no, what's stoping you from having regular facials?

Workfinanceslack of childcareisnt something that intrests / concerns you.
Do you consider caring for your skin as an investment?

Definitelysomewhatnot agt all
would you attend a product launch

YesNo
Do you apply sunscreen to your face?

Yes daily - in summer onlyYes daily - all year roundno never
How much would you spend individualy on professional cosmecutical skin care products?

$20 - $30$30 - $50$50 - $70$70 - $100$100 +
Which retailer would you trust to purchase the best products for your skin needs?

SupermarketChemistHairdresser'sBeauty clinic / Day spaonline
Would you be more confident in purchasing a product line formulated by a plastic surgeon with the vision of providing an alternitive to plastic surgery while still achieving the same phenominal results.

yes absolutely!yes, providing the products gave Fabulous resultsyes as long as the products were affordableNo, is of no importantce to me.
what would you be willing to spend on a basic skin care routine consisting of 1-4 products?

$100 - $200$200 - $300$300 - $400
We want to thank you for your time with a complimentary skin consultation and prescription! Ph 884 7573 to book today!
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What YOU want

We want to thank you for your time with a complimentary skin consultation and prescription! Ph 884 7573 to book today!