What is your medical occupation? (check box that applies)
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MD
DO
APRN
RN
LPN
PA
DDS
Dental Hygienist
What state will you be practicing in?
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What is your medical background?(For example, ICU, medsurge, private practice, hospitalist, plastic surgeon, general dentist)
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Are you happy with your current job and situation?
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No I wish I had more money
No, I wish I had more time
No, I wish it was a happier environment
All of the above and I'm looking for a change
Yes, I love my job and Im totally satisfied, but I’d love to do this on the side
Why do you want to move into aesthetic medicine? What’s your why?
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Do you have any Botox or Dermal Filler injection experience?
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Beginner – I've watched videos online but never injected a patient
Intermediate – I've done a few injections and shadowed in an office
Advanced – I've been injecting patients but looking for advanced training
Seasoned – I have been injecting patients and are familiar with advanced areas of injections. Im just wanting to learn more advanced areas and skills
What is your name?
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First Name
Last Name
Email
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example@example.com
Phone Number
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Please verify that you are human
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