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* 1. What type of staff do you employ at your medspa? (check all that apply)

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* 2. In what state is your facility located?

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* 3. What services do your currently offer? (check all that apply)

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* 4. Please describe your typical customer. (Do not use % sign, just a number.)

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* 5. Do you have a physician on the premises?

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* 6. If not, on average, how many hours per week does your physician provide on-premises medical supervision?

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* 7. How would you characterize your business? (choose one)

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* 8. If you categorize your business as a medical spa, please identify why.

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* 9. What do you consider to be your greatest concern in growing your practice?

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* 10. What were your approximate annual revenues during the past 3 years? (Do not use dollar signs or commas, just numbers)

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* 11. What was the percentage mix of your revenues in 2011, for procedures vs. products?

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* 12. How did the last recession affect your business, if at all?

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* 13. By what percentage do you expect your revenues to increase/decrease in 2012? (choose one)

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* 14. IMPORTANT:

Thank you for your participation. All information will remain confidential, used to derive industry averages only. In order for us to give you the $75 credit and to receive the free summary of survey results, please list your name, company and mailing address or email address below.

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