D2: Level 2 Botox & Filler Dental Training
Pre-Training Evaluation
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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.
Name
*
Prefix
First
Last
Email
*
Phone
*
###
-
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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 the following Botox treatments:
*
1-4
5-9
10-14
15+
Gummy Smile
Frown Lines
Forehead Lines
Crow's Feet
Brow Lift
TMD
Are there any Botox treatments you like to review more in-depth or like more clinical practice with?
Maximum Allowed: 200 words.
Approximately how many patients have you treated with Dermal Fillers?
*
Approximately how many patients have you treated with the following Dermal Filler treatments:
*
1-4
5-9
10-14
15+
Nasolabial Folds
Marionette Lines
Oral Commissures
Lips
Are there any Dermal Fillers treatments you would like to review more in-depth or like more clinical practice with?
Maximum Allowed: 200 words.
How familiar are you with the following:
*
Strongly Disagree
Disagree
Agree
Strongly Agree
All anesthetic options for treatments
Pre and post treatment instructions
Potential side effects or complications and how to Manage adverse effects?
Dermal Filler injection depth and how to avoid the Tyndall Effect
Will you be bringing a model patient or would you like one provided?
Please select
I will be bringing a model patient for both Botox & Fillers
I will be bringing a Botox patient, please provide a filler patient
I will be bringing a Filler patient, please provide a Botox patient
Please provide a model patient for both Botox & Fillers
Patient Name (if you are bringing)
If you are bringing a model patient, please upload a picture here
Add File
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)
Please select
I would like to work alone to treat a model patient
I would like to partner to treat a model patient
Do you have any questions for the instructors?
