National Survey: Aesthetic Medical Industry Spring 2017 Thank you for taking the time to complete this comprehensive survey of the aesthetic medical industry. Your feedback is crucial to capture the trends and best practices that drive our industry. The information gleaned from this research will help our industry develop benchmarks and standards as well as provide insights to help you improve and grow your business. As a thank you for participating in this survey, Acara Business Institute will provide each participant with a free copy of the published research results and analysis (to be released in April 2017). In addition, all participants are eligible to select a FREE website audit, social media audit, or brand audit for your practice from Reach Beyond Marketing, the leading marketing and digital communications agency in the beauty, health, and wellness industries.The survey should be completed by those directly involved in aesthetic medical practice – owners, physicians, practice managers, nurses, medical directors, or marketing directors. All answers and information are strictly confidential and no personal information or results will be shared at any time. Reporting will provide analysis and insights from the full pool of survey respondents only. This survey should take less than 10 minutes to complete – feel free to answer all questions or skip those that do not apply. The deadline to complete this survey is April 14, 2017. Questions? Please contact John Powers at jpowers@acarabusinessinstitute.com or call 203-488-0028, X314. Tell us about yourself and your practice. Question Title * 1. What is your primary role at your practice? Owner: Physician Owner: Non-Physician Practice Manager Medical Director Marketing Coordinator Other (please specify) Question Title * 2. In what state (or Canada) is your practice located? Alabama Alaska American Samoa Arizona Arkansas California Canada Colorado Connecticut Delaware District of Columbia (DC) Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Marianas Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Virgin Islands Washington West Virginia Wisconsin Wyoming Question Title * 3. Do you have more than one location? Yes No If yes, how many? Question Title * 4. Describe your practice location (main office if more than one location) Urban Suburban Rural Question Title * 5. Is your practice part of a franchise? yes No Question Title * 6. How would you classify your practice? Medical Spa Cosmetic Dermatology Practice Plastic Surgery Practice Aesthetic/Cosmetic Medical Practice Laser Center Other (please specify) Question Title * 7. Who is the primary owner of your practice? Physician Nurse Practitioner Entrepreneur Physician Assistant RN Other (please specify) Question Title * 8. How large is your facility (in square feet)? (use your primary practice facility if more than one) Question Title * 9. How many treatment rooms? (use your primary practice facility if more than one) Question Title * 10. How many years have you operated this practice? Question Title * 11. How many days of the week are you typically open? 1 2 3 4 5 6 7 Question Title * 12. How many hours each week are you open? Question Title * 13. What is the average gender makeup of your clientele? % of women % of men Question Title * 14. What is the age range of the majority of your patients? (please select which range fits your clientele best) 25-54 35-54 45-64 35-64 Question Title * 15. What percent of your clients are repeat in a typical month? Question Title * 16. Does your practice have a medical director? Yes No Question Title * 17. How many hours per week does your physician provide on-premise medical supervision? Question Title * 18. How many physicians are part of your practice? Question Title * 19. How many mid level practitioners work at your practice? Question Title * 20. What is the specialty of your medical director? Dermatologist Plastic Surgeon Internal Medicine Family Physician OB/GYN Other (please specify) Question Title * 21. How many revenue producing full time equivalent service providers do you have at your practice? Question Title * 22. Please check all staff that you employ (full-time or part-time) at your practice (select all that apply) Physician Nurse Practitioner RN/LPN Practice Manager Front Desk Marketing Sales Aesthetician Medical Assistant Other (please specify) 20% of survey complete. Next