Procedure Type*
  • Breast
  • Body
  • Face
  • Minor Procedures
  • Other
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Procedure of Interest*
  • Liposuction
  • Abdominoplasty
  • Fat Transfer to Buttocks
  • Skin Tightening
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  • List is empty.
Procedure of Interest*
  • Fat Transfer Breast Augmentation
  • Breast Lift
  • Breast Lift and Fat Transfer
  • Breast Reduction
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Procedure of Interest*
  • Fat Transfer to Face
  • Facelift
  • Neck Lift
  • Brow Lift
  • Rhinoplasty
  • Eyelid Surgery
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Where did you first hear about us?*
  • Search Engines (Google, Bing, Yahoo)
  • Social media - Facebook, Instagram, Tiktok
  • From a friend/family member
  • From another doctor
  • Email
  • Text message
  • Influencer (which one / channel)
  • Hairdresser/salon
  • Radio (incl. Podcast)
  • Other (please let us know)
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Plastic surgery comes with a certain cost, please tell us if you need help in funding this procedure*
  • I have enough savings
  • I work full time and I might still need a payment plan
  • I work part time (20 hours/week) and need a payment plan
  • I don’t work and I don’t have any savings
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Do you have a timeline as to when you would like to get the procedure done?*
  • This month
  • Next month
  • In 2-3 months
  • In 3 to 6 months
  • In 6 to 12 months
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Have you seen another plastic surgery clinic for consultation before?*
  • Yes
  • No
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