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Medical Aesthetics Windsor Bloom Society
ABOUT US
THE "CLINIC" SOCIETY
Botox/Dermal Fillers Windsor
CO₂ Laser Windsor
Hollywood Spectra Laser
Facials & Skin Treatments Windsor
INMODE LHR,IPL,PLUS90
Microneedling Windsor
Treatment Recommendations
Pre-Post Prodcedure Guidelines
THE "MEDICAL" SOCIETY
CONTACT US
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First name
Last name
Email
Phone
Birthday
Year
Month
Month
Day
What is your age?
18-24
25-34
35-44
45-54
55-64
65+
Which statement best reflects how you would like to look and feel?
I want to look less tired
I want to look less angry
I want more defined and countoured features
I want to improve lax skin, fine lines, wrinkles
none of the above
Which area of your face is your main priority?
forehead
eyes
undereyes
cheeks
jawline
full face
neck
face and neck
Which of the following is your top concern?
Volume loss
sunken appearance
jowel formation and laxity
wrinkles
fine lines
Enhance my face structure/definition/contour
drooping neck/thin skin
Why are you considering Aesthetic treatments now?
special occasion (wedding, reunion, milestone birthday, engagement, baptism etc.)
increased video calls
major life event
I feel like I look older than I am
people say I look more tired when I am not
I want to enhance an area that I never had volume to begin with
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Thank you for visiting us!
First name
Email
What injectable sevices interest you?
*
Required
Botox
Dermal Filler
PRP
PDO threads
CO2 skin resurfacing
Skin boosters
Nurse training
Do you want us to email you about those services?
yes
no
Last name
Phone
What aesthetic sevices interest you?
Laser hair removal
IPL/Lumecca
Vaginal rejuvenation
Chemical peels
Hydrafacial MD
Exosomes with microneedling
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Thank you for choosing us! We truly value your feedback as it helps us improve our services. Kindly take a few minutes to complete this survey, and let us know how you enjoyed our services.
What service did you do today?
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injectables
aesthetics
Who was your service provider?
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Aida
Katarina
Daniela
how would you rate the overall quality of servces provided by us?
excellent
very good
good
fair
poor
Did the service provided meet your expectations?
excellent
very good
good
fair
poor
How likely are you to recommend Bloom Society services to friends or family?
extremely likely
likely
neutral
somewhat likely
very unlikely
How was our customer service?
excellent
very good
good
fair
poor
Would you like to share any additional comments, suggestions, or compliments?
Send
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