Botox Survey

Hello:

You are invited to participate in my survey of people's knowledge of botox. This survey is part of an indepentant project that I am doing for school. Your participation in this study is very important to me.Thank you very much for your time and support. Jackie

Have you ever heard of botulinum toxin? (Botox is the trade name)

Yes

No

Not sure

Never

How much money do you think one vial of Botox costs?

$100-$275

$275-$375

$500+

Not sure

Do you think Botox is only used for cosmetic purposes?

Yes

No

Not sure

Do you know what cervical dystonia is?

Yes

No

Not sure

How many vials of botox do you think are used to treat a person with cervical dystonia?

1-2

3-4

Not sure

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