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Dermatologist Clinic Survey
Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
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Please take a few moments to answer the following questions. Your responses will help us understand the community's needs and preferences regarding dermatological care.
1
Age:
Select one or more answers
(18-24)
(25-44)
(45-65)
2
Gender
Select one or more answers
Female
Male
Other
3
Do you currently see a dermatologist?
Select one or more answers
Yes
No
4
If yes, how often do you visit them?
Select one or more answers
Monthly
Quarterly
Annually
5
If no, what is the primary reason you do not see a dermatologist?
Select one or more answers
Cost
Accessibility
No such need
6
Are you in need of a dermatologist clinic in your area?
Please select the option that best represents your need.
Yes
No
Not Sure
7
What types of dermatological services are you most interested in?
Select one or more answers
General skin check-ups
Acne treatment
Anti-aging treatments
8
What types of dermatological services are you most interested in?
Select one or more answers
Cosmetic dermatology
Laser Hair Reduction
Hair thinning and hair loss
9
Do you have any specific skin conditions or concerns that you would like to address with a dermatologist?
Select one or more answers
Yes
No
10
What factors influence your choice of a dermatologist clinic
Select one or more answers
Experience
Comfort
Location and accessibility
11
How satisfied are you with the current dermatologist clinic available in your area?
Rate your satisfaction on a scale from 1 to 10.
12
Are you willing to travel to a nearby area for a well-equipped dermatologist clinic?
Please select the option that aligns with your willingness to travel.
Yes, I am willing to travel
No, prefer a clinic in my area only
Depends on the services offered
13
Would you prefer a dermatologist clinic with extended hours (evenings/weekends)?
Please select your preference regarding clinic operating hours.
Yes, prefer extended hours
No, regular hours are sufficient
Not a decisive factor
14
How likely are you to recommend a well-reputed dermatologist clinic to friends/family?
Rate your likelihood on a scale from 1 to 10.
15
Would you prefer a dermatologist clinic with telemedicine/online consultation options?
Please indicate your preference for virtual consultation services.
Yes, prefer telemedicine options
No, prefer in-person consultations
Depends on the situation
16
Thank you for your time and input! Your responses will help us provide better services tailored to your needs. Do you have any additional comments or suggestions regarding dermatological care or a new clinic in your area?
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