Online Interview Questionnaire Form

Med Spa Aessessment Questionnaire

Please answer the questions as thoroughly as possible to make our consultation meeting more effective. All your informations submitted here will be kept confidential. We will use them for your practice assessment only.
How can we help you today?

I am an existing player but would like to check before making expansion decisions (inc. new location, new equipment, new service line)I am new in this industry. Just want to have a "gut check" before making the plungeI am struggling and would like to discuss my options.Other
Practice Info:

Let's find out some basic information from you so we can tailor our discussion:
Your MedSpa or Aesthetic Practice Name
Contact E-mail
example@example.com
Website URL
Year when it was established
Who owns your Practice?

MD (not Plastic Surgeon or Dermatologist)Plastice Surgeon or DermatologistNPRNCertified AestheticianNon medical investors (incl. private equity group or other invest groups)Others
Are you sharing the Med Spa with another Medical Clinic?

No, I am/will be a stand-alone operationYes, I am/will be sharing the same location with a Plastic Surgeon/DermatologistYes, I am/will be sharing the same location with other medical specialities (e.g. primary care, internist, PT, etc. Non Plastic/Dermatology)Other
How many locations do you have?
How many estheticians are there in your practice accross all your locations? (Including doctors, NP, RN who perform the aesthetic services)
What were the average gross revenue of your whole practice in the latest year?
Current/Planned Operating Address (Why do we need this? This will allow us to run a competitive analysis before our meeting)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Information (who filled out this survey):
Full Name

First NameMiddle NameLast Name
Phone Number
Questions and Details:

Please let us know a bit more about where to focus to prepare for our meeting?
Describe your questions in few words.
Please add your top services
What aesthetic equipment do you have?
Can you describe the persona of your typical client segments?
Can you describe the marketing investments you have made so far?
Where do you see your practice in the next 1-3 years?
Please verify that you are human*
Should be Empty:

Med Spa Aessessment Questionnaire