What is your main concern about your skin?
Fine lines and wrinkles
Volume loss
Uneven texture
Other
Have you ever had Botox or similar treatments before?
Yes, I’m a regular
Yes, I’ve tried it once or twice
No, but I’m curious
No, I’ve never considered it.
Which areas would you like to address with Botox?
Forehead
Crow’s feet
Frown lines
Jawline
Other
What’s holding you back from trying Botox?
Nothing.
Concerns about safety
Cost
Unnatural results
Fear of needles
Other
What do you hope to achieve with Botox?
Prevent future wrinkles
Smooth current lines
Look refreshed
Feel more confident
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