Unleash Your Inner Beauty:
Take Our Botox & Filler Procedure Survey
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Unleash Your Inner Beauty: Take Our Botox & Filler Procedure Survey
What are your primary areas of concern regarding your facial appearance?
Forehead wrinkles
Crow's feet
Nasolabial folds (lines from the nose to the mouth)
Lip lines
Marionette lines (lines from the corners of the mouth to the chin)
Thin lips
Flat cheeks
Other (please specify)
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Unleash Your Inner Beauty: Take Our Botox & Filler Procedure Survey
Have you ever undergone any Botox or filler treatments in the past?
Yes
No
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Unleash Your Inner Beauty: Take Our Botox & Filler Procedure Survey
What are your expectations for Botox or filler treatments?
Reduce the appearance of wrinkles and fine lines
Enhance facial volume
Improve overall facial symmetry
Achieve a more youthful appearance
Other (please specify)
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of 3
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Please provide your contact information:
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