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  1. Surveys
  2. 2012
  3. March
  4. F
  5. Facial Aesthetic Concepts
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Hello!

We would like to thank you for your past participation in our Platelet-rich plasma Fractional CO2 study. If you would please take the time to answer a few questions, we would like to gather some more information about the results you personally observed.

Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and remain confidential. If you have questions at any time about the survey, you may contact Natalie Popenko at the San Clemente office at (949)276-4141 or by email: [email protected].

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.


Facial Aesthetic Concepts
 
 
 
1. Full Name
   
 
 
 
2. Current phone number
   
 
 
 
3. On what area did you receive the Fractional CO2 laser?(Select all that apply)
 
Face
 
Neck
 
Chest

 
 
 
4. Did you recieve PRP on the left side or right side of your face?
 
Left
 
Right
 
Don't remember
 
 
 
5. During the healing process, did you notice a difference between the sides in terms of redness, swelling, peeling or healing time?
 
No difference
 
Yes, Minor difference
 
Yes, Major difference
 
 
 
6. If you answered Yes to the question above, can you elaborate on the differences you observed during healing?
   
 
 
 
7. Regarding the long term results, can you see a difference between the left and right sides today that you feel are a result of the treatment? (In terms of skin texture, pigmentation, wrinkles)
 
No difference
 
Yes, Minor difference
 
Yes, Major difference
 
 
 
8. If you answered Yes to the question above, can you please elaborate on the long term differences you observed:
   
 
 
 
9. Regarding your overall (entire face and/or neck and chest) results from the Fractional CO2 laser, how would you rate your results in texture and smoothness, pigmentation, and fine lines?
 
No difference
 
Minor difference
 
Moderate difference
 
Significant difference
 
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