1. Your Name:

    2. Your specialization is:

    3. Which is your experience in the aesthetic field:

    4. You focuse more in:

    5. In your practice which brand do you prefer the most for fillers:

    6. Do you use threads in your practice:

    7. Do you use Sculptra in your practice:

    8. Which biostimulator do you use in your practice:

    9. Are you intered in minimally invasive neck rejuvenation:

    10. Name energy based devices available in your clinic:

    11. Name main subjects you want to focus during the course: