Botulinum toxin as an anti-ageing treatment and how this is being exploited by the black market.
THIS QUESTIONNAIRE IS COMPLETELY ANONYMOUS. PLEASE DO NOT INCLUDE ANY INFORMATION THAT IS PERSONAL OR WILL ENABLE YOUR IDENTIFICATION.
For the purpose of this questionnaire, 'Black market' botulinum toxin refers to products which are NOT licensed for use in the United Kingdom and are being administered without a prescription. The products are licensed for use in other countries.
Do you think the use of botulinum toxin in anti-ageing treatments is now so commonplace this contributes to the perception that medical oversight may not be essential?
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Yes
No
Other
Please give a brief explanation
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I have botulinum toxin anti-ageing treatments because
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I want to look better
I want to feel younger
I want to look more attractive for my partner
I want to attract a partner
I want to remain competitive at work
I feel pressured by society to remain looking younger
I want to keep up with my social circle
Other
Please give a brief explanation here...
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Prior to having botulinum toxin treatments using unlicensed products, did you have botulinum toxin treatments using licensed, prescribed products?
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Yes
No
If YES, did the treatment involve a face to face appointment with a doctor, dentist or nurse prescriber?
Yes
No
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Who carried out the treatment?
Doctor
Dentist
Nurse/Paramedic
Aesthetic Practitioner
Other
Other, please state...
Do you know whether the practitioner was trained and certified to administer botulinum toxin treatments?
Yes, they had undertaken botulinum toxin training
No, they had not undertaken botulinum toxin training
I don't know if they had undertaken botulinum toxin training
It didn't occur to me to ask, I just assumed they would be
I wasn't really bothered
Other
Please give a brief explanation...
Do you know what brand of botulinum toxin was used?
Allergan
Bocouture
Azzalure
Don't know
Other
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Other, please state...
How satisfied were you with the treatment using prescribed botulinum toxin?
Very satisfied
Satisfied
Neither satisfied nor dissatisfied
Dissatisfied
Very dissatisfied
Have you ever have a side effect or complication relating to a treatment using prescribed botulinum toxin?
Yes
No
If YES, what was it?
Do you agree or disagree: When prescribers fail to carry out face to face consultations, as a customer, do you think this contributes to the perception that medical oversight may not be required when receiving botulinum toxin treatments?
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Yes
No
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What are your main reasons for having black market botulinum toxin treatments as opposed to prescribed botulinum toxin treatments?
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Price
Less appointments required
Better results
Prefer the practitioner
I can not get a prescription due to my medical history
I have been refused treatment by other practitioners
I can get more areas treated for the money
Prescribed botulinum toxin stopped working on me
I can share a vial and split the cost with a friend
The practitioner is willing to make the dilution stronger
I had a bad experience with prescribed botulinum toxin
The practitioner is family/friend
Practitioner has stock available for immediate treatment
Other
Please give a brief explanation here, and, state your overall reason for choosing black market botulinum toxin...
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How easy was it to find a practitioner who uses black market botulinum toxin?
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Very easy
Easy
Neither easy nor difficult
Difficult
Very difficult
How did you find the practitioner?
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Facebook
Instagram
Internet Search
Recommendation
Practitioner known to me
Practitioner is local to me
Practitioner is family/friend
Clinic/salon
Other
Other, please state...
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If the practitioner was recommended, who made the recommendation?
Friend
Work Colleague
Relative
Clinic/salon
Other
Other, please state...
Do you know whether the practitioner you currently use for black market botulinum toxin treatments has undertaken training to administer botulinum toxin?
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Yes, they have undertaken training
No, they have not undertaken training
I don't know if they have undertaken training
It didn't occur to me to ask, I just assumed they would be
I wasn't really bothered
Other
Do you know whether the practitioner is a...
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Doctor
Dentist
Nurse/Paramedic
Aesthetic practitioner with beauty background
Other
Other, please state...
Do you know which brand of black market botulinum toxin was used?
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Yes
No
If YES, please state...
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How satisfied were you with the treatment using black market botulinum toxin?
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Very satisfied
Satisfied
Neither satisfied nor dissatisfied
Dissatisfied
Very dissatisfied
Have you ever have a side effect or complication relating to a treatment using black market botulinum toxin?
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Yes
No
It YES, what was it?
If your current practitioner changed from black market botulinum toxin to prescribed botulinum toxin thereby making the treatment more expensive, would you stay with them or look for another practitioner who used black market products?
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I would stay with them and pay more
I would look for another practitioner who used black market products
Please give a brief explanation here...
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The Government are currently considering a scheme which will require practitioners who administer botulinum toxin treatments to be licensed. If this scheme was implemented, would you...
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Change to a licensed practitioner using prescription botulinum toxin
Change to a licensed practitioner who you know uses both prescription and black market botulinum toxin
Use an unlicensed practitioner using black market botulinum toxin
Stay with the same practitioner and carry on as before
Other
Please give a brief explanation here...
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What would make you change from black market botulinum toxin to prescribed botulinum toxin treatments?
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If the price was more competitive with the black market prices
If a face to face appointment was not required with a prescriber
If black market botulinum toxin was unavailable
If, after an initial face to face appointment, I could get botulinum toxin on repeat prescription (subject to no medical changes)
The prescriber was willing to prescribe for off licence areas
Nothing, I would not change
Other
Please give a brief explanation here...
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Have you ever seen a post, picture, meme or advert that could be considered as promotion of botulinum toxin treatments?
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Yes
No
If yes, what have you seen?
Before and after pictures
Pricing: 1 area £xx, 2 areas £xx, 3 areas £xx
Posts which include words such as: top-up, anti-wrinkle or Botox
Posts which claim to be educational (see example below)
Which platform was the promotion displayed on?
Facebook
Instagram
Website
Other
Other, please state...
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