EDUCATIONAL SUPPORT QUESTIONNAIRE
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
What date did you first begin your aesthetic training?
-
Day
-
Month
Year
Date
Where did you do your initial training?
How many year aesthetics experience do you have?
In an average week how many patients/clients would you treat?
Which of the following treatments have you received training for?
1. Anti-wrinkle injections for static and dynamic rhytids of upper face.
2. Anti-wrinkle injections for lower face and neck
3. BOTOX injections for hyperhidrosis
4. BOTOX injections for medical conditions such as migraine
5. Lip Fillers
6. Dermal filler for cheek augmentation
7. Tear Trough filler
8. Dermal filler for hollow temples
9. Profhilo
10. RF Microneedling
11. Chemical Peels
12. Skincare such as Obagi Medical
13. PDO Threads
14. Silhouette Threads
How confident are your ability to achieve safe desirable results with anti-wrinkle injections you are trained for?
low confidence
1
2
3
4
Very confident
5
1 is low confidence, 5 is Very confident
How confident are you in your ability to achieve safe desirable results with the dermal filler treatments you are trained for?
low confidence
1
2
3
4
Very confident
5
1 is low confidence, 5 is Very confident
How confident are you in your ability to achieve safe desirable results with the any of the other treatments you are trained for?
low confidence
1
2
3
4
Very confident
5
1 is low confidence, 5 is Very confident
If you have stated a confidence level lower than 3 in the above questions can you please clarify briefly.
Are you happy with your ability to assess a patient/clients reason for treatment as being either medical or cosmetic?
Please Select
Yes
No
Not sure
Do you feel confident to do a total assessment of the patient/client and discuss ideas for a holistic treatment plan?
Please Select
Yes
No
Not sure
Have you knowledge of the use of Hyaluronidase?
Please Select
Yes
No
If yes, how confident are you in your ability to use Hyaluronidase appropriatley?
low confidence
1
2
3
4
Very confident
5
1 is low confidence, 5 is Very confident
Please tell us which treatment you enjoy doing?
Please tell us which treatment you least enjoy doing?
What would you consider at the moment to be your first priority as far as your educational needs?
Which would you consider the best learning experience of the following options?
Please Select
Shadowing a senior injector
Group course
In clinic practising yourself
Access to online tutorial videos
Journal Articles
Submit
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