*1.I am a licensed(Required.)

Dermatologist

Plastic Surgeon

ENT

Ophthalmologist

Physician

Physician Assistant

Nurse Practitioner

Nurse

Dentist

Aesthetician

Other (please specify)

2.How many years have you been injecting?
(Round to the nearest whole number)

*3.Practice City, State, Country:(Required.)

*4.Which type of practice do you work in or own?(Required.)

Medspa

Dermatology

Plastic surgery

ENT

Gynecology

Dental

Aesthetic medicine

Other (please specify)

*5.Ownership(Required.)

I own a majority of the practice.

I own a minority of the practice.

I work for a physician.

I work for a private equity company.

I work for another healthcare provider (Nurse/NP/PA).

I work for a privately owned business.

*6.Purchasing(Required.)

I make the purchasing decisions for the practice.

I advise on the purchasing decisions for the practice.

I have no influence on the purchasing decisions for the practice.

7.We have the following accounts for supplies

Mckesson

Henry Schein

Cobalt

Medline

Delasco

I don't know

Other (please specify)

None of the above

*8.Which neuromodulators do you have in your practice?(Required.)

Botox (Allergan)

Dysport (Galderma)

Daxiffy (Revance/Crown)

Jeuvaeu (Evolus)

Xeomin (Merz)

Letybo (Benev)

Other (please specify)

*9.Which fillers do you have in your practice?(Required.)

Juvederm (Allergan)

Restylane or Sculptra (Galderma)

Radiesse or Belotero (Merz)

RH2-4 or Redensity (Crown/Revance)

Revanesse Versa (Prolenium)

Bellafill (Suneva)

Other (please specify)

10.Which equipment or supplies do you have in your practice?

Sciton (BBL, Heroic, Hero, Contour, Profrac....)

Cartessa (Helix/Sultra/Coolpeel/Tetra/Virtue...)

Candela (Gentlemax, Vbeam, Nordlys....)

Cutera (Xeo, Excel V/HR, Secret RF...)

Cynosure Lutronic (Potenza, Icon, Picosure, Sculpsure, Myellevate)

Zimmer Chiller

Coolsculpting

Canfield (Visia, Vectra, Intellistudio...)

Hydrafacial

BTL (Emface, Emsculpt, Exion, Emsella...)

TSK (Steriglide or CSH cannulas, invisible needle...)

Navaclick syringes

Vein Finder

Cosmofrance (Dermasculpt cannula, NovaThreads or Ez Gel)

Other (please specify)

None of the above

*11.Which topical products do you sell in your practice?(Required.)

Elta MD

Revision

Pavise

Topix (Replenix)

Brand MD

SkinBetter

Skinceuticals

Alastin

SkinMedica

Obagi

Vitamedica (Arnica)

Exosomes

PCA Skin

Nutrafol

All Others (please specify)

12.Which topics do you want covered in member-only webinars?

*13.Enter Your Email To Join Our Membership & Email Newsletter(Required.)