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  • 1. Why are you considering facial renewal treatments injections?
    for fine lines & wrinkles
    for preventative reasons
    Other  
  • 2. Where are you considering getting the Facial Renewal Treatments Injections?
    between the brows
    smile/frown lines
    crows feet
    Other  
  • 3.Have you had Facial Renewal Treatments Injections before?
    Yes
    No
  • If so, when?
  • 4. How old are you?
  • 5. How soon do you want the procedure done?
  • 6. Gender?
    Male
    Female
  •