CONSUMER SURVEY

Name:

1. Are you

Male
Female

2. Have you been treated with Atlean?

Yes
No

3. If not, why not?

Not enough information
Cost
Prefer immediate, short acting vs. longer acting, gradual result
Other:

4. If yes, how would you describe your experience with Atlean?

Outstanding, I love the results and will continue to receive injections
Too early to say
Will not use again due to cost
Will not get again as I was not happy with results. Please explain.

5. Please check all / any other physician office based aesthetic treatments you have had in the last year:

6. Please check the biggest motivator behind choosing a filler like Atlean:

Compliments from other people that I look good.
I feel better about myself.
Knowing I look younger than other people my age.
More acceptance in the work place.
I feel more confident.
I feel more energetic.
Other:

7. When you choose an aesthetic procedure like a filler, what do you find makes the biggest difference in your decision making?

Web information
Friend’s experience
Physician information
Spa information
Other:

8. What would you like to see added to this Atlean website?

Rebate
Patient testimonials
More information on how fillers differ
More examples of results
Other: