Date:
Salon Name:
Owner/Beautician / Manager Name
Address:
Home Phone:
Business Phone:
Cell Phone:
E-mail address:
Since how long time you running Business / Experience:
Do you know about skin treatment:
Do you aware about skin concern:
If yes
Concern category
Any skin course with registered company or institute:
Do you know about Peel Concept?
Do you know types of Peels?
What skin peel products are you currently using or you see market ?
Have you ever had a Peel treatment before? ( No / Yes, when? )
Do you know dermatologist doctor using Peel products in their treatment?