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Quick Survey
1.

How did you hear about us? 
Google
Yahoo
Bing
Facebook
Twitter
Groupon
LivingSocial
CitySearch
A Friend or Family Member
Other  
2.

 What is your gender?
Male
Female
3.

 What age group do you belong to?
Under 20 years old
Between 20 and 35
Between 35 and 50
Between 50 and 65
Over 65 years old
4.

 What is/are the reason/s you looked us up?

 
Remove excess hair
Improve aging skin
Get rid of sun damage
Erase wrinkles and scars
Treat active or cystic acne
Treat cellulite
Get rid of fat
Transplant hair
Other  
5.

 Have you ever been treated by us before?
Yes
No
6.

 Have you ever been treated by another medspa or skin clinic in the Seattle area?
Yes
No
7.

 What would be the most compelling reason for you to choose us over other medical spas?
Affordability
Experience
Safety
Results
Hygiene
Customer Service
Other  
8.

 What new service or treatment do you recommend we start offering?

  
 

50 characters left.
9.

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Last Name:
Email Address:
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