SurveyMonkey Powered Online Survey

1. How easy was it to attach and use the Ouchless™ Needle?

How easy was it to attach and use the Ouchless™ Needle? Extremely Easy

Somewhat Easy

Neutral

Difficult

2. How did the Ouchless™ Needle feel to use?

How did the Ouchless™ Needle feel to use? Nice feel; good ergonomics

Takes some "getting used to"

Felt awkward

3. How did you find the button pressure to be?

How did you find the button pressure to be? Too soft

Perfect

Somewhat hard

Extremely hard

4. How many sprays were you able to get out of a device?

How many sprays were you able to get out of a device? More than 18

15-18

10-14

Less than 10

Don't remember

5. What types of injectables are you using? (Check all that apply)

	Use in practice	Used, or intend to use, with Ouchless™ Needle
Botox	*What types of injectables are you using? (Check all that apply) Botox Use in practice	Botox Used, or intend to use, with Ouchless™ Needle
Dysport	Dysport Use in practice	Dysport Used, or intend to use, with Ouchless™ Needle
Juvederm	Juvederm Use in practice	Juvederm Used, or intend to use, with Ouchless™ Needle
Lidocaine	Lidocaine Use in practice	Lidocaine Used, or intend to use, with Ouchless™ Needle
Radiesse	Radiesse Use in practice	Radiesse Used, or intend to use, with Ouchless™ Needle
Restylane	Restylane Use in practice	Restylane Used, or intend to use, with Ouchless™ Needle
Sculptra	Sculptra Use in practice	Sculptra Used, or intend to use, with Ouchless™ Needle
Steroid	Steroid Use in practice	Steroid Used, or intend to use, with Ouchless™ Needle

Other (please specify)

6. Of the following advantages of the Ouchless™ Needle, please rate how important each is in your decision to use the device.

	Extremely important	Somewhat important	Neutral	Not important
Time savings for my patients	*Of the following advantages of the Ouchless™ Needle, please rate how important each is in your decision to use the device. Time savings for my patients Extremely important	Time savings for my patients Somewhat important	Time savings for my patients Neutral	Time savings for my patients Not important
Time Savings for me	Time Savings for me Extremely important	Time Savings for me Somewhat important	Time Savings for me Neutral	Time Savings for me Not important
Potential gain of new patients with needle phobias	Potential gain of new patients with needle phobias Extremely important	Potential gain of new patients with needle phobias Somewhat important	Potential gain of new patients with needle phobias Neutral	Potential gain of new patients with needle phobias Not important
Delivery of a better patient experience	Delivery of a better patient experience Extremely important	Delivery of a better patient experience Somewhat important	Delivery of a better patient experience Neutral	Delivery of a better patient experience Not important
Reduction of "edema" or redness	Reduction of "edema" or redness Extremely important	Reduction of "edema" or redness Somewhat important	Reduction of "edema" or redness Neutral	Reduction of "edema" or redness Not important
Perception of the use of the newest modalities	Perception of the use of the newest modalities Extremely important	Perception of the use of the newest modalities Somewhat important	Perception of the use of the newest modalities Neutral	Perception of the use of the newest modalities Not important

7. Do you plan to continue using the Ouchless™ Needle for your cosmetic injections?

Do you plan to continue using the Ouchless™ Needle for your cosmetic injections? Yes

8. If you answered NO to Question #7, which of the following reasons describes your reason(s) not to use the Ouchless™ Needle? (Check all that apply)

If you answered NO to Question #7, which of the following reasons describes your reason(s) not to use the Ouchless™ Needle? (Check all that apply) Too expensive

Difficult to attach

Awkward to use

Ineffective in alleviating pain

Other (please specify)

9. Which of the following is/are your current primary method(s) of pain reduction for cosmetic injectables? (Check the method(s) that you use the most, not those that you just occasionally or infrequently use)

Which of the following is/are your current primary method(s) of pain reduction for cosmetic injectables? (Check the method(s) that you use the most, not those that you just occasionally or infrequently use) Ice

Numbing creams

Dental blocks

Local infiltration

Contact cooling devices

Vibration devices

Ouchless™ Needle

None

Other (please specify)

10. Please share any additional comments or suggestions:

Please share any additional comments or suggestions:

11. Identity (Optional)

Identity (Optional) Name
City/State