D2 Pre-Training Evaluation

While D2 lectures will be covering various advanced treatments, techniques, and products, the Day 2 Clinical will be tailored for YOU. Prior to the upcoming training, please answer the following questions to help us get a better understanding of your current knowledge and experience, allowing us to help optimize your clinical training time.

Full Name

Phone

When did you attend your Level 1 training?

Approximately how many patients have you treated with Botox?

Approximately how many patients have you treated with Botox for Gummy Smile?

Approximately how many patients have you treated with Botox for Forehead Lines?

Approximately how many patients have you treated with Botox for Frown Lines?

Approximately how many patients have you treated with Botox for Crow's Feet?

Approximately how many patients have you treated with Botox for TMD? ?

Approximately how many patients have you treated with Botox for Brow Lift ?

Are there any Botox treatments you like to review more in-depth or like more clinical practice with?

Approximately how many patients have you treated with Dermal Fillers?

Approximately how many patients have you treated with Dermal Fillers for Nasolabial Folds?

Approximately how many patients have you treated with Dermal Fillers for Marionette Lines?

Approximately how many patients have you treated with Dermal Fillers for Oral Commissures?

Approximately how many patients have you treated with Dermal Fillers for Lips?

Are there any Dermal Fillers treatments you would like to review more in-depth or like more clinical practice with?

How familiar are you with all anesthetic options for treatments?

How familiar are you with pre and post treatment instructions?

How familiar are you with potential side effects or complications and how to manage adverse effects?

How familiar are you with Dermal Filler injection depth and how to avoid the Tyndall Effect

Will you be bringing a model patient or would you like one provided?

Patient Name (if you are bringing)

If you are bringing a model patient, please upload a picture here

Day 2 Hands-on Clinical: You can choose to work alone or partner with another doctor to treat a model patient (cost for materials will be less)

Do you have any questions for the instructors?