1. How do you feel when you look in the mirror?

I look older than I feel

I still look as young as I feel

2. When looking in the mirror, choose what best describes your aging concerns (you can choose more than one)

Facial wrinkles, creases, and frown lines

Drooping cheeks (jowls)

Loose neck skin (often called “turkey neck”)

Fullness under chin and other neck areas

Under-eye bags

Droopy, tired upper eyelids

3. Based on what you see in the mirror, choose the photo below that best matches your current level of aging:

Picture #1: Minimal signs (fine lines, subtle changes)

Picture #2: Moderate signs (noticeable lines, early sagging)

Picture #3: Significant signs (deep wrinkles, visible sagging)

Picture #4: Severe signs (pronounced wrinkles, loose skin, multiple concerns)

4. Look in the mirror and lift near your cheekbones (upward and backward). Does it help with the concerns you indicated in the previous question?

Yes

5. If you looked younger, more attractive and energetic, would it help you to “kick start” other positive changes in your life?

Yes

6. Lifetime Lift was developed as a safe and effective treatment for people with all degrees of aging. Most individuals are excellent candidates. However, in some cases, specific medical conditions or unique circumstances may make someone ineligible. If that turns out to be the case, would you be open to exploring alternative options?

Yes

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