KOL Engagement Survey

Question Title

* 1. Please enter your name (first name, last name).

Question Title

* 2. Please enter the name of your practice (office/clinic/hospital).

Question Title

* 3. Please enter your primary practice location (city, state).

Question Title

* 4. How would you describe your practice specialty? (Check all that apply)

Medical dermatology

Cosmetic dermatology

Medical spa

Other (please specify)

Question Title

* 5. How long have you been in practice?

<1-2 years

3-5 years

6-10 years

>10 years