Laser hair removal survey Fill This Survey for Best Results Question Title * 1. Have you had Laser hair removal before? Yes No OK Question Title * 2. If yes, On a scale of 1-10, how painful was the procedure? 0 is no pain at all, 10 is extremely painful 0 10 Clear i We adjusted the number you entered based on the slider’s scale. OK Question Title * 3. On a scale of 1 to 10, how would you rate the experience? 1 is extremely unsatisfied, 10 is extremely happy 1 5 10 Clear i We adjusted the number you entered based on the slider’s scale. OK Question Title * 4. Let us determine your skin Fitzpatrick score? always burns, never tans (pale white; blond or red hair; blue eyes; freckles) usually burns, tans minimally (white; fair; blond or red hair; blue, green, or hazel eyes) sometimes mild burn, tans uniformly (cream white; fair with any hair or eye color) burns minimally, always tans well (moderate brown) very rarely burns, tans very easily (dark brown) Never burns, never tans (deeply pigmented dark brown to darkest brown) OK Question Title * 5. How do you describe the unwanted hair that you would like to remove by Laser Dark and fine Dark and coarse Light and fine light and coarse Other (please specify) OK Question Title * 6. Are you currently tan? Yes No Never had it before OK Question Title * 7. What is the Area of the unwanted hair? Extremities (arm or legs) Trunk (abdomen or back) Facial Bikini or Brazilian Full body Other (please specify) OK Question Title * 8. Do you have any chronic skin condition such as Eczema? Yes No Other (please specify) OK Question Title * 9. Do you take any medications such as antibiotics or water pills? Yes No Other (please specify) OK Question Title * 10. What is the most important consideration when choosing a cosmetic clinic or spa Reputation The brand of the Laser machine Prices and promotions Location and parking Social media profiles OK Question Title * 11. How did you hear about us? Google search Facebook ad instagram ad Printed media word of mouth OK Question Title * 12. When are you planning to do the laser procedure Less than two weeks More than two weeks OK Question Title * 13. Please provide us with your information First name Last name Email Address Phone Number OK Question Title * 14. How do you like us to contact you? Phone call Email Text message OK DONE