Laser Resurfacing Survey Fill this Survey to get $100 discount on your Fraxel Laser session Question Title * 1. Have you had Laser skin resurfacing before? Yes No OK Question Title * 2. If yes, what was the procedure you had? Fraxel Laser Fractional Radio frequency Microneedling (Infini) Chemical Peel Carbon Peel Other (please specify) OK Question Title * 3. What is the main skin issue you have now? Acne Scars Pigmentation Skin texture stretch marks Other (please specify) OK Question Title * 4. Overall, how satisfied or dissatisfied were you with the results Very satisfied Satisfied Neither satisfied nor dissatisfied Dissatisfied Very dissatisfied OK Question Title * 5. Do you use Sunblock on daily basis? Yes No OK Question Title * 6. Do you take a medication that makes your skin sensitive to sun light? Yes No I am not sure OK Question Title * 7. Can you afford to stay at home for three days after the procedure? Yes No I am not sure OK Question Title * 8. How did you hear about us? Google search Facebook ad Instagram ad Printed media Word of mouth OK Question Title * 9. Please provide us with your information First name Last name Email Address Phone Number OK Question Title * 10. How do you like us to contact you? Phone call Email Text message OK DONE