Q1.
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What is your practice setting?
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Private clinic |
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Secondary or tertiary referral hospital |
Q2
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How long have you been practicing botulinum toxin injections?
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Less than 1 year |
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1–5 years |
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5–10 years |
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More than 10 years |
Q3
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What is the approximate percentage of patients who visit your office for cosmetic procedures and for disease treatment? (the total should be 100)
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For cosmetic procedures: _______(%) |
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For disease treatment: _______(%) |
Q4
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What is the patient proportion, by age (years), of those who visit for cosmetic procedures? (total should be 100)
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20–30 years: _______(%) |
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40–50 years: _______(%) |
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60 and over: _______(%) |
Q5
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Among those who receive cosmetic botulinum toxin injections, what is the treatment rate by site? (total should be 100)
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Upper face: _______(%) |
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Midface: _______(%) |
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Lower face/neck: _______(%) |
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Body (trunk or extremities): _______(%) |
Q6
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What are the three most frequent indications among patients who receive cosmetic botulinum toxin injections?
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Forehead wrinkles |
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Glabellar wrinkles |
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Crow’s feet |
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Bunny lines |
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Infraorbital wrinkles |
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Nasal tip elevation |
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Masseter hypertrophy |
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Smoker’s lines |
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Cobblestone chin and platysmal band |
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Shoulder contouring (Trapezius muscle injection) |
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1st: _________________________ |
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2nd: _________________________ |
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3rd: __________________________ |
Q7
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Among those in their 20–30 years who receive cosmetic botulinum toxin injections, what is the rate of the procedure by site? (total should be 100)
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Upper face: _______(%) |
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Mid face: _______(%) |
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Lower face/neck: _______(%) |
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Body: _______(%) |
Q8
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Among those in their 40–50 years who receive cosmetic botulinum toxin injections, what is the rate of the procedure by site?
(total should be 100)
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Upper face: _______(%) |
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Mid face: _______(%) |
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Lower face/neck: _______(%) |
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Body: _______(%) |
Q9
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Among the patients aged 60 years and older who receive cosmetic botulinum toxin injections, what is the rate of the procedure by site? (total should be 100)
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Upper face: _______(%) |
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Mid face: _______(%) |
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Lower face/neck: _______(%) |
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Body: _______(%) |
Q10
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Please rank the following indications based on their popularity among patients who receive cosmetic botulinum toxin injections in the upper face.
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Forehead wrinkles |
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Glabellar wrinkles |
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Periorbital wrinkles (“crow’s feet lines”) |
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1st: _________________________ |
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2nd: _________________________ |
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3rd: __________________________ |
Q11
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Please rank the following indications based on their popularity among patients who receive cosmetic botulinum toxin injections in the midface.
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Nasal wrinkles (“bunny lines”) |
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Infraorbital wrinkles |
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Drooping nasal tip |
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1st: _________________________ |
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2nd: _________________________ |
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3rd: __________________________ |
Q12
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Please rank the following indications based on their popularity among patients who receive cosmetic botulinum toxin injections in the lower face/neck.
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Masseter hypertrophy |
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Vertical perioral wrinkles (“smoker’s lines”) |
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Chin creases (“cobblestone chin”) |
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Platysmal bands |
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1st: _________________________ |
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2nd: _________________________ |
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3rd: __________________________ |
Q13
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Please rank the following indications based on their popularity among patients who receive cosmetic botulinum toxin injections in the body (trunk or extremities).
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Shoulder contouring |
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Calf contouring |
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Upper arm contouring |
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1st: _________________________ |
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2nd: _________________________ |
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3rd: __________________________ |
Q14
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When reconstituting a botulinum toxin product for wrinkle effacement, what amount of isotonic saline do you add for 100 units of type A botulinum toxin?
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1 mL |
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2 mL |
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2.5 mL |
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4 mL |
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5 mL |
Q15
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Have you experienced cases suspicious of clinical resistance to botulinum toxin treatment?
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No |
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Yes |
Q16
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What is your routine treatment interval for botulinum toxin injections?
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2 months (or less) |
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3 months |
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4 months |
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5 months |
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6 months (or more) |
Q17
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What factor do you consider the most in choosing a botulinum toxin product?
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Low price |
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Liquid formulation (pre-reconstituted botulinum toxin) |
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Low risk of antibody formation (low risk of clinical resistance) |
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Reliability (stability-constant potency, therapeutic efficacy) |
Q18
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What commercial product do you use the most?
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Botox® Vistabel® (Allergan, USA) |
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Dysport®/Azzalure® (Galderma, Switzerland) |
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Xeomin®/ Bocouture® (Merz, Germany) |
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Meditoxin®/Neuronox® (Medy-Tox, Korea) |
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Botulax® (Hugel, Seoul, Korea) |
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Nabota®/Jeuveau® (Daewoong, Korea) |