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HOME
ABOUT
SERVICES
LE BEAU JOLIE
PROMOTIONS
PAYMENT PLANS
CONTACT US
INTAKE FORMS
- Client Consultation Form
- Client Interest Survey
TESTIMONIALS

Client Interest Survey

Phone number

Call us at: 770-294-3696

Our address

Visit us at: 4229 1st Ave, Tucker, GA 30085 Suite C

Help Us Shape Our Next Services

Client Consultation Form

Free Text

We're exploring adding physician-led weight management and aesthetic treatments to our spa, and we'd love your input!

This 2-minute survey is for planning only. Services and prices are not final, and completing it does not commit you to treatment. Medical services would require a consultation to determine suitability. Please do not include medical history or other sensitive health information.

1. Which services would you be interested in learning more about?

Physician-led weight management, including GLP-1 medication when appropriate

Botox for cosmetic concerns

PRP treatments using platelet-rich plasma prepared from your own blood

None at this time

Other:

2. Which ONE service would you be most likely to book first?

Weight management

Botox

PRP

I'm interested but unsure

None at this time

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3. At these estimated prices, how likely would you be to book each service if medically appropriate?

Weight management: $________ per month for medical evaluation and ongoing follow-up. Medication and any needed lab testing would cost extra.

Very likely

Somewhat likely

Unsure

Unlikely

Not interested

Botox: approximately $________ per unit. An illustrative 35-unit treatment would cost about $________; your total would depend on the treatment plan.

Very likely

Somewhat likely

Unsure

Unlikely

Not interested

PRP: approximately $________ per session. If three sessions were recommended, the total would be $________. Treatment area and suitability would be discussed at consultation.

Very likely

Somewhat likely

Unsure

Unlikely

Not interested

4. If your preferred service became available at the estimated price, when would you realistically consider booking?

Within the first month

Within 1-3 months

Within 4-6 months

Later than 6 months

I'm only gathering information

I would not book at these prices

5. What would you need before deciding?

More information about the treating physician

A consultation to discuss suitability, benefits, and risks

A clear explanation of the full cost

More information about the treatment and expected results

Convenient appointment times

Payment options

Other:

6. Which appointment times would work best for you?

Weekday mornings

Weekday afternoons

Weekday evenings

Saturdays

Sundays

7. Would you like us to contact you if these services become available?

Yes

No

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If yes, please provide:

Name

Email

Phone number

Preferred contact method:

Email

Text

Phone

New Field

I agree to be contacted about these proposed services.

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Thank you! Your feedback will help us decide what to offer and how to make it convenient for our clients.

Thank you for reaching out! We will get back to you shortly to discuss your wellness goals.

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Locate Us

Opulence Wellness & Med Spa
4229 1st Ave., Suite C, Tucker, GA
10am - 6pm Appt Only

info@opulencemedicalspa.com

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