Form

Email*

First name*

Last name*

Company name*

Please provide full name.

Which laser model do you use?*

K-Laser, Summus, Lightforce, etc.

When did you acquire your laser unit?*

If uncertain of exact date, indicate an estimated date.

Year/Month/Day

How many laser units does your clinic have?*

Please only include high-intensity laser models.

In regards to laser therapy, what has been your biggest success?*

e.g., increase in number of patients, increase in patient success, etc.

In regards to laser therapy, what has been your biggest struggle?*

e.g., patient success rates, patient numbers, consistency in effectiveness, etc.

How many laser treatments does your clinic average per workday?*

Please indicate the daily quantity of laser treatments applied.

What is your level of expertise in utilizing laser therapy?*

Indicate level on a scale from 0-5 (0 being novice, 5 being expert).

What are your goals and expectations for your laser therapy practice?*

What motivated you to utilize laser therapy?

In regards to purchasing your laser therapy unit, have you had a good return on your investment?*

Please indicate yes or no and why.

How many staff members are involved with your laser therapy processes?*

e.g., how many laser technicians do you employ?