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How does your dermatologist make you feel?
1.
What age range do you identify with?
25-34
35-44
45-54
55-64
65+
2.
How long have you been seeing a dermatologist?
6 months-1 year
1 year-5 years
5 years-10 years
10 years+
3.
Typically before seeing the dermatologist how you feel?
Happy
Scared
Nervous
Anxious
Other (please specify)
4.
How does your dermatologist make you feel?
Comfortable
Uncomfortable
Anxious
Content
Other (please specify)
5.
After your visits how do you feel?
Very satisfied
Satisfied
Neither satisfied nor dissatisfied
Dissatisfied
Very dissatisfied
6.
Is your dermatologist the same skin color as you?
Yes
No
7.
If you answered yes to the previous question, do you feel more comfortable having a dermatologist the same skin color as you rather than its you had one that isn't, and if so elaborate.
Yes
No
Other (please specify)
8.
Are your more likely to change your skin care products after seeing your dermatologist?
Yes
No
Maybe