Survey architecture

Which country do you currently live in?

Single answer (SA) · Retained · Priority H · Screener / Profiling

• Brazil
• Canada
• Germany
• Mexico
• Kingdom of Saudi Arabia
• Spain
• United Kingdom
• United States Of America

Please choose the language you prefer for completing the survey.

Single answer (SA) · Retained · Priority H · Screener / Profiling

• English
• French (Canadian)
• Portugese
• Arabic
• Spanish (Spain)
• Spanish (Mexico)

Have you or your partner worked in any of these roles in the past 6 months?

Single answer (SA) · Retained · Priority H · Screener / Profiling

• Healthcare professional (doctor or nurse)
• Have not been involved in the mentioned role in the past 6 months

What is your gender?

Single answer (SA) · Retained · Priority H · Screener / Profiling

• Male screen-out
• Female

How old were you on your last birthday?

Single answer (SA) · Retained · Priority H · Screener / Profiling

• <21 years old screen-out
• 21 – 30 years old
• 31 – 40 years old
• 41 – 50 years old
• 51 – 55 years old
• 56 – 60 years old
• 61 – 65 years old
• 66 years old and above screen-out

Check with Merz

How many cosmetic botox treatment(s) have you had in the past 3 years?

Single answer (SA) · Retained · Priority H · Screener / Exposure

• ≥8 treatments
• 6 – 8 treatments
• 3 – 5 treatments screen-out
• 2 treatments screen-out
• 1 treatment screen-out
• None screen-out

Survey preamble to state clearly that botox equals Botox

On average, how much do you spend on a typical botox aesthetic treatment session?

Open ended (OE) · Modified · Priority H · Screener / Profiling

Who administered your most recent aesthetic treatment with botox?

Single answer (SA) · Retained · Priority H · Screener / Profiling

• Licensed dermatologist
• Licensed plastic surgeon
• Licensed aesthetic/ cosmetic doctor
• Licensed doctors/ general practitioner
• Licensed aesthetic/ cosmetic nurse
• Beauty consultant/ beautician screen-out
• I don't remember screen-out

Which of these areas did you receive botox treatment in the past 2 years? Please consider BOTH aesthetic AND medical/therapeutic treatments.

Grid — 19 rows · Retained · Priority H · Screener / Exposure

“Qualify if respondent scores 6 points and above”

Check with Merz (1) points (2) therapeutic use inclusion

Do you plan to have one or more cosmetic botox treatments on any part of your face or body (including touch-ups) in the next 6 months?

Single answer (SA) · Retained · Priority H · Screener / Exposure

• Yes
• No
• Maybe
• I don't know

M-ref

Were you the main decision maker for your cosmetic botox treatments?

Single answer (SA) · Retained · Priority H · Screener / Profiling

• Yes, I was the main decision maker
• No, I was NOT the decision maker

Which of the following best describes your MONTHLY HOUSEHOLD INCOME before taxes? Please consider all sources of revenue, including wages, bonuses, subsidies, revenue from investments, etc.

Single answer (SA) · Retained · Priority H · Screener / Profiling

TBC - INSERT TEXT

Single answer (SA) · Retained · Priority H · Screener / Consent

• Yes, I agree to participate
• No, I do not agree to participate

Please select TRUE or FALSE for each statement.

Grid — 3 rows · Retained · Priority H · Main / Knowledge

The dose of botox is dependent on the area treated

Single answer (SA) · Retained · Priority H · Main / Knowledge

• True correct
• False
• I don't know

C-psy

Botox treatments are generally safe, if injected by a qualified doctor

Single answer (SA) · Retained · Priority H · Main / Knowledge

• True correct
• False
• I don't know

C-psy

All brands of botox work in the same way to relax muscles

Single answer (SA) · Retained · Priority H · Main / Knowledge

• True correct
• False
• I don't know

C-psy

Before today have you heard of any of these terms in relation to cosmetic botox treatment ?

Multiple answer (MA) · New · Priority H · Main / Knowledge

• Immunoresistance
• Neutralizing antibodies
• Secondary non-response
• Complexing proteins
• Treatment holiday
• None of the above exclusive

C-psy

Immuneresistance evaluates core awareness Neutralizing antibodies evaluates mechanism/purity SNR evaluates declining efficacy and whether patients have a label for what they experience Complexing proteins evaluate formulation literacy central to the purity story Treatment holiday evaluates recognition of understanding of main management strategy

Thinking about ALL the cosmetic botox treatments you've had in your lifetime, about how many treatment have you had IN TOTAL?

Single answer (SA) · New · Priority H · Main / Patient journey - Tx history

• 1-2
• 3-5
• 6-8
• 9-12
• 13-16
• 17-20
• More than 20
• I don't remember

C-psy

Lifetime treatment exposure

Thinking about ALL the cosmetic botox treatments you've had in your lifetime, including top-ups or boosters, what is the SHORTEST TIME you have ever waited between 1 treatment session and the next?

Single answer (SA) · New · Priority H · Main / Patient journey - Tx history

• Less than 1 month ↳ routes
• 1 to less than 2 months ↳ routes
• 2 to less than 3 months
• 3 to less than 4 months
• 4 to less than 6 months
• 6 months or longer
• I do not remember

C-psy

You mentioned that you had botox sessions 2 months or less of each other. Were any of these sessions a top-up or booster after a recent botox treatment? (A top-up or booster means an additional injection shortly after a treatment session to adjust, enhance, or correct the result, rather than wait till your next routine treatment).

Single answer (SA) · New · Priority H · Main / Patient journey - Tx history

• Yes, once
• Yes, 2-3 times
• Yes 4-5 times
• Yes, more than 5 times
• No, it was for a different area or another planned treatment
• I do not remember

C-psy

Repeated decline is more informative than one disappointing Tx

Which details about your botox treatment history could you CONFIDENTLY provide to a new aesthetic doctor or clinic, without guessing?

Multiple answer (MA) · New · Priority H · Main / Patient journey - Tx history

• Date (approximate month/year) of my last treatment
• Brand/product used
• Dose or number of units
• Areas treated
• Name of previous clinic/doctor
• Whether I had a top-up/booster
• Whether results lasted as long as expected
• Whether I received botox for medical reasons
• None of the above exclusive
• I don't know exclusive

C-psy

In your most recent botox treatment session, how many units were used in TOTAL across all areas treated in that session?

Single answer (SA) · New · Priority M · Main / Patient journey - Tx history

• I don't know
• Less than 25 units
• 25-49 units
• 50-74 units
• 75-99 units
• 100 units or more

C-psy

Dose/units exposure, transparency and recall gap. MEDIUM PRIORITY because dose/units recall is NOT expected to be accurate and we have better/more reliable exposure proxies in the questionnaire such as: - Number of treatments in the past three years - Lifetime treatment sessions - Short intervals - Top-up boosters - Number of areas treated - Medical use

How do you know how many units were used?

Single answer (SA) · New · Priority M · Main / Patient journey - Tx history

• It's my own rough estimate or best guess
• I worked it out myself from the price, areas treated, or past sessions
• My doctor gave me an APPROXIMATE number
• My doctor told me the EXACT number
• I saw it on my invoice or treatment record
• Other SPECIFY

I saw it on my invoice, receipt, or treatment record - [RELIABILITY] documented, high My doctor told me the exact number at the time - told, exact My doctor gave me an approximate number - told, approximate I worked it out myself (from price, areas, or past sessions) - derived It is my own rough estimate / best guess - guess, low

Have you ever received botox for a medical or non-aesthetic reason?

Multiple answer (MA) · New · Priority H · Main / Patient journey - Tx history

• No I never received Botox for medical or non-aesthetic reasons
• Migraine or chronic headache
• Excessive sweating
• Jaw clenching/teeth grinding/bruxism
• Bladder condition
• Eye twitching or facial spasm
• Other medical condition
• I don't remember

C-psy

Do you currently have a written or digital record of your botox type A treatment history that you could show to a new doctor?

Single answer (SA) · New · Priority M · Main / Patient journey - Tx history

• Yes all the details, including date, brand, dose, treatment area, and clinic
• Yes but only some of the details
• No

C-psy

Treatment-history access, record-keeping and passport opportunity

Insert writeup

type not stated · New · Priority M · Main / Patient journey - Tx history

Tx passport - potentially high-leverage patient-activation intervention, particularly because clinic switching and cross-clinic treatment can fragment treatment history

Would you use a personal treatment record (sometimes called a treatment passport) that keeps details of your botox treatments and can be shown to doctors at different clinics?

Single answer (SA) · New · Priority M · Main / Patient journey - Tx history

• 0 - I will NOT use it
• 1
• 2
• 3
• 4
• 5
• 6
• 7
• 8
• 9
• 10 - I will definitely use it

O-phy

What features of this treatment passport are most useful for you?

Multiple answer (MA) · New · Priority M · Main / Patient journey - Tx history

• A complete log of my past treatments (dates, brands, doses, and clinics)
• A single place to track both my cosmetic and medical treatments
• A secure place to store my before-and-after photos
• A way to track how well each treatment worked and exactly when it wore off
• A place to log side effects or issues I experienced after a treatment
• Automated reminders for follow-up visits or my next treatment
• Suggested questions to ask my practitioner at my next visit
• The ability to securely share my treatment history with a new clinic
• Other SPECIFY
• None of the above exclusive
• I don't know exclusive

Select ALL the botox brand(s) you have EVER USED? Either for aesthetic or medical/therapeutic reasons.

Grid — 8 rows · Retained · Priority H · Main / Patient journey - Brand

• INSERT LIST
• Other SPECIFY
• I don't know exclusive

C-psy

Psychological capability: brand recall/literacy

Brand Literacy

How do you know which brand(s) was used?

Multiple answer (MA) · Retained · Priority H · Main / Patient journey - Brand

• It's my best guess
• I saw the box/vial/pack
• I saw it on my invoice or treatment record
• My doctor told me WITHOUT my asking
• My doctor told me AFTER I asked
• Other SPECIFY
• I don't know exclusive

C-phy

Physical opportunity: brand traceability (Measures how the brand/product became knowable: verbal explanation, packaging, receipt, record, or asking)

Brand traceability measure

Thinking about all the botox treatments you have received in the past, please distribute 100 points across the options below to reflect how often each scenario occurred.( For example: - If the doctor chose it with little or no discussion for all your treatments, give it 100 points. If this applied to half the time, give it 50 points).

Single answer (SA) · Modified · Priority H · Main / Patient journey - Brand

Question phrasing and response options: categorical version better captures the real-world decision dynamic: self-led, shared, doctor-led, or unknown; more useful than asking respondents to place themselves on an abstract 0–10 continuum

When choosing or agreeing to use a botox brand, which of these matter MOST to you? Select up to 3 answers.

MA3 · Modified · Priority H · Main / Patient journey - Brand

“Ask if Qx=I chose it myself/I chose it after discussing with my doctor/my doctor recommended it and I agreed”

• Expected results
• Immediacy of results
• Expected duration of effect
• Lower risk of results becoming weaker or shorter-lasting over time
• Lower risk of side effects
• Lower risk of becoming immune to it
• Less discomfort/pain during or after treatment
• Brand familiarity
• Product Purity/Formulation
• doctor's recommendation
• Friends and family's recommendations
• Social Media Influencer Recommendation
• Lower cost
• I don't know exclusive

M-ref

Reflective motivation: decision drivers; top3 drivers capture beliefs about consequences, preferences, social influence and cost/product trade-offs

Question phrasing and response options

If your preferred botox brand was not available, what would you MOST LIKELY do?

Single answer (SA) · Modified · Priority H · Main / Patient journey - Brand

“Ask if Qx=I chose it myself/I chose it after discussing with my doctor”

• Receive a different brand at the same visit
• Reschedule until my preferred brand is available
• Visit another doctor/clinic that offers my preferred brand
• Let my doctor decide
• I don't know

O-phy O-soc M-ref

O(phy) product is out of stock; M(ref) options to reschedule/accept a different brand/switch clinics - measures patient's internal desires/strength of their brand loyalty vs desire for immediate convenience; O(soc) let my doctor decide option taps into interpersonal trust and social influence of the doctor's authority

Question phrasing - measures concrete action rather than just attitude

Since you started getting botox treatments, have you ever changed brands?

Single answer (SA) · Modified · Priority H · Main / Patient journey - Switch brand

• No, I have always used the same brand
• Yes, once
• Yes, twice
• Yes, three times or more
• I don't know which brands/products I have used
• I don't remember

O-phy

Merged with Qx

Thinking about your MOST RECENT switch, how many treatments of the previous brand did you receive before changing?

Single answer (SA) · Modified · Priority H · Main / Patient journey - Switch brand

• 1 treatment
• 2 treatments
• 3 treatments
• 4-5 treatments
• 6-8 treatments
• >8 treatments
• I don't remember

C-psy

Merged with Qx

What were your MOST IMPORTANT reasons for switching to a different brand?

Multiple answer (MA) · Modified · Priority H · Main / Patient journey - Switch brand

• The results did not last as long as I expected
• The results did not last as long as they used to
• Needed a higher dose to get the same effect
• Needed more frequent treatments/top-ups
• My doctor recommended a different brand.
• The other brand cost less/was on promotion
• My preferred brand was not available
• The other brand was recommended by friends and family
• The other brand was very popular on social media (Tik Tok, Instagram, Facebook, YouTube, etc.)
• The other brand had very positive online reviews (blogs, forums such as Reddit, clinic reviews, medical websites, etc.)
• I just wanted to try something different
• Other SPECIFY
• I don't know exclusive

O-phy O-soc M-ref

M(ref) Results did not last higher dose/more frequent Tx/try something different - these capture patients' conscious evaluation of the treatments' value and their personal desires; O(soc) recommendations/social media/online reviews - measure how other people and cultural trends drive behavior; O(phy) cost/promotion/preferred brand not available - external/financial factors that restrict or enable choice

Merged with Qx

Since you started getting botox treatments, have you ever changed clinics?

Single answer (SA) · Modified · Priority H · Main / Patient journey - Clinic hopping

• No, I have always used the same brand
• Yes, once
• Yes, twice
• Yes, three times
• Yes, four times
• Yes, five times or more
• I don't remember

C-psy O-phy

Thinking about your MOST RECENT clinic switch, how many treatments did you receive at the previous clinic before changing?

Single answer (SA) · Modified · Priority H · Main / Patient journey - Clinic hopping

• 1 treatment
• 2 treatments
• 3 treatments
• 4-5 treatments
• 6-8 treatments
• >8 treatments
• I don't remember

C-psy

What were your MOST IMPORTANT reasons for switching to a different clinic?

Multiple answer (MA) · Modified · Priority H · Main / Patient journey - Clinic hopping

• Did not like how the results looked
• The results did not last as long as they used to
• Needed a higher dose to get the same effect
• Needed more frequent treatments/top-ups
• doctor recommended taking a break from treatments
• Unhappy with the clinic's/doctor's service
• I wanted a doctor with more experience or a better reputation
• My preferred doctor moved to a different clinic
• The treatment experience itself was unpleasant or painful
• The treatment cost was too high
• More convenient clinic location/appointment time at the other clinic
• The other clinic was recommended by friends and family
• The other clinic was very popular on social media (Tik Tok, Instagram, Facebook, YouTube, etc.)
• The other clinic had very positive online reviews (blogs, forums such as Reddit, clinic reviews, medical websites, etc.)
• Simply wanted to try a new clinic
• Other SPECIFY
• I don't know exclusive

O-phy O-soc M-ref

Have you ever received aesthetic botox treatment outside your usual city or country of residence?

Multiple answer (MA) · New · Priority H · Main / Patient journey - Clinic hopping

• Yes, in a different city within my country ↳ routes
• Yes, in another country (C ↳ routes
• No

C-psy O-phy

Which cities did you travel to for your botox treatment?

Open-ended (OE) · New · Priority L · Main / Patient journey - Clinic hopping

“Ask if Qx=1”

Which countries did you travel to for your botox treatment?

Open-ended (OE) · New · Priority L · Main / Patient journey - Clinic hopping

“Ask if Qx=1”

Did you experience any of the following with any of your botox treatments?

Multiple answers (MA) · Modified · Priority H · Main / Patient journey - Tx experience

• Did not like how the results looked ↳ routes
• The results did not last as long as I expected ↳ routes
• The results did not last as long as they used to ↳ routes
• Needed a higher dose to get the same effect ↳ routes
• Needed more frequent treatments/top-ups ↳ routes
• None of the above exclusive
• I don't remember exclusive

C-psy M-ref

M(ref) options regarding how the results looked/how long they lasted/dosage measure patient's belief about the Tx's value/efficacy; these experiences shape conscious desire to continue/stop/switch Tx in the future

Question phrasing and response options

Around the time you noticed the results getting weaker/wearing off faster, did any of the following happen? Select all that apply

type not stated · New · Priority H · Main / Patient journey - Tx experience

Confounding variables

Health and medication events

Multiple answers (MA) · New · Priority H · Main / Patient journey - Tx experience

“Ask if Qx=1/2/3/4/5”

• I had a significant illness or infection that lasted about a week or more and required medical care
• I received a vaccination
• I started, stopped, or changed a regular prescription medicine
• I had a major weight change that visibly changed my face or the treated body area
• None of the above exclusive
• I don't remember exclusive

Confounding variables

Treatment circumstances (compared with previous treatment(s) of the same area(s)

Multiple answers (MA) · New · Priority H · Main / Patient journey - Tx experience

“Ask if Qx=1/2/3/4/5”

• I had no comparable earlier treatment
• A different doctor administered the treatment
• I went to a different clinic
• A different Botox brand was used
• I noticed or was told that fewer units or lower dose were used
• I noticed or was told that the injection locations or treatment approach were different
• None of the above exclusive
• I don't remember exclusive

Confounding variables

Goals, expectations, and anatomical change

Multiple answers (MA) · New · Priority H · Main / Patient journey - Tx experience

“Ask if Qx=1/2/3/4/5”

• My preferred result or treatment goal had changed.
• The areas I wanted treated had changed.
• I expected a stronger or more complete result than before.
• I expected the result to last longer than before.
• The skin, lines, muscle, or shape of the treated area had visibly changed since my earlier treatments.
• A doctor or licensed aesthetic nurse told me that changes in the treated area could affect the result
• None of the above exclusive
• I don't remember exclusive

Confounding variables

How many treatments did you receive before you first noticed the results getting weaker or wearing off faster?

Single answer (SA) · New · Priority H · Main / Patient journey - Tx experience

“Ask if Qx=1/2/3/4/5”

• 1 - 4 treatments (roughly after 1 year)
• 5 - 9 treatments (roughly after 2-3 years)
• 10 - 14 treatments (roughly after 3-4 years)
• 15 - 20 treatments (roughly after 4-5 years)
• More than 20 treatments
• I don't remember

C-psy

Which of the following, if any, do you think may have contributed to the weaker or shorter-lasting result?

Multiple answers (MA) · New · Priority H · Main / Patient journey - Tx experience

“Ask if Qx=1/2/3/4/5”

• My body may have become less responsive to botox
• The dose or injection approach may have been different
• A different brand or product was used.
• I changed clinic or practitioner
• I changed clinic or practitioner
• A health event, medication change, vaccination, or major weight change may have contributed
• My goals or expectations had changed.
• Other SPECIFY
• I don't know exclusive

Confounding variables

How did you FEEL when your botox treatment did not work as well as expected?

Multiple answer (MA) · Modified · Priority H · Main / Patient journey - Tx experience

“Ask if Qx=1/2/3/4/5”

• Frustrated
• Anxious or worried
• Self-conscious or insecure
• Disappointed
• Confused or uncertain
• Determined/urgency to get it fixed
• Indifferent or unbothered
• Other SPECIFY
• I don't remember exclusive

M-auto

What people feel AND how they respond when efficacy declines

What did you DO when your botox treatment did not work as well as expected?

Single answer (SA) · Modified · Priority H · Main / Patient journey - Tx experience

“Ask if Qx=1/2/3/4/5”

• I continued treatment without taking an intentional break ↳ routes
• I took a break and later resumed treatment ↳ routes
• I am currently taking a break and have not resumed treatment yet
• I stopped treatment and do not plan to resume
• I have not decided whether to continue treatment
• Other SPECIFY
• I don't remember exclusive

C-psy M-ref

C(psy) I don't remember measures patient's ability to recall; M(ref) have not decided/do not plan to resume - measure patients' conscious decision-making intentions and future plans

Did you/will you SWITCH the botox BRAND to address the issue?

Single answer (SA) · Modified · Priority H · Main / Patient journey - Tx experience

“Ask if Qx=1/2”

• Did/will do nothing
• Stay with the same brand
• Switch to a different brand
• I don't know/remember

C-psy

Did you switch CLINIC to address the issue?

Single answer (SA) · Modified · Priority H · Main / Patient journey - Tx experience

“Ask if Qx=1/2”

• Did/will do nothing
• Returned to the same clinic and same doctor
• Returned to the same clinic but different doctor
• Different clinic and different doctor
• I don't know/remember exclusive

C-psy

What OTHER ACTIONS, if any, were taken to address the issue?

Multiple answer (MA) · Modified · Priority H · Main / Patient journey - Tx experience

“Ask if Qx=1/2”

• Did/will do nothing exclusive
• Discuss reasons for declining efficacy with the doctor
• Reviewed treatment history with doctor
• Had/will have a top-up or booster
• At a later treatment, request/received a higher dose/more units than before
• At a later treatment, stop botox and try a different type of treatment (e.g., fillers, Thermage/Ultherapy, threads, facelift, etc.)
• Other SPECIFY
• I don't know/remember exclusive

C-psy

How long was, or has, your treatment break lasted?

Single answer (SA) · Modified · Priority H · Main / Patient journey - Tx experience

“Ask if Qx=1/2”

• Less than 3 months
• 3-4 months
• 5-6 months
• 7-12 months
• More than 12 months
• I don't know/remember exclusive

C-psy

During a TYPICAL consultation, which of the following topics are actually discussed with your doctor?

Multiple answer (MA) · Modified · Priority H · Main / Patient journey - Consultation

• My treatment goals and the areas to be treated
• What results I could realistically expect
• When I would start to see results
• How long the results were expected to last
• The specific botox brand used and how it compares with others
• The dose or number of units to be used
• My previous aesthetic botox treatments, including the brand used and how I responded
• Whether I receive botox treatments for medical reasons
• Whether the treatment was suitable for me based on my health, medicines, allergies, or other treatments
• Possible side effects or medical risks
• Expected pain or discomfort during or after treatment
• Aftercare instructions and when to contact the clinic
• Whether and when I might need a follow-up visit or top-up treatment
• When I should have my next full botox treatment
• The possibility that results may become weaker or not last as long over time/across repeated treatments ↳ routes
• What to do if results become weaker or shorter-lasting
• The total cost of treatment
• Other aesthetic treatment options, such as fillers, energy-based treatments, or surgery
• Other SPECIFY
• None of the above exclusive

C-psy O-soc

O(soc) Captures interpersonal interaction and information provided by the doctor

Question phrasing

Which of the following topics do you wish were discussed or discussed more thoroughly, during your consultations?

Multiple answer (MA) · Modified · Priority H · Main / Patient journey - Consultation

• My treatment goals and the areas to be treated
• What results I could realistically expect ↳ routes
• When I would start to see results ↳ routes
• How long the results were expected to last ↳ routes
• The specific botox brand used and how it compares with others ↳ routes
• The dose or number of units to be used ↳ routes
• My previous aesthetic botox treatments, including the brand used and how I responded ↳ routes
• Whether I receive botox treatments for medical reasons ↳ routes
• Whether the treatment was suitable for me based on my health, medicines, allergies, or other treatments ↳ routes
• Possible side effects or medical risks ↳ routes
• Expected pain or discomfort during or after treatment ↳ routes
• Aftercare instructions and when to contact the clinic ↳ routes
• Whether and when I might need a follow-up visit or top-up treatment ↳ routes
• When I should have my next full botox treatment ↳ routes
• The possibility that results may become weaker or not last as long over time/across repeated treatments ↳ routes
• What to do if results become weaker or shorter-lasting ↳ routes
• The total cost of treatment ↳ routes
• Other aesthetic treatment options, such as fillers, energy-based treatments, or surgery ↳ routes
• Other SPECIFY ↳ routes
• None of the above exclusive

C-psy M-ref

M(ref) measures the patient's conscious desires, unmet needs, and personal goals

What did your doctor explain about the possibility that results may become weaker or not last as long over time/across repeated treatments?

Multiple answer (MA) · New · Priority H · Main / Patient journey - Consultation

“Ask if Qx=15”

• The cause: Why the body might stop responding (e.g., building a tolerance or antibodies)
• The dosage risk: How getting treatments too often or at high doses increases this risk
• The product risk: How the specific brand or formulation used can affect this risk
• The warning signs: Exactly what physical signs to look out for (e.g., results wearing off faster)
• The action plan: What steps you should take if the results become weaker
• The medical impact: How building a tolerance could prevent you from using these treatments for future medical conditions (e.g., migraines, muscle spasms)
• Other SPECIFY
• I don't remember exclusive

C-psy O-soc

C(psy) + O(soc) measures knowledge imparted to the patient (building capability) through the doctor's communication (social opportunity)

What are the main reasons you have not asked your doctor to discuss these topics more thoroughly?

Multiple answer (MA) · New · Priority M · Main / Patient journey - Consultation

“Ask for responses selected at Qx”

• I did not know what specific questions to ask.
• I forgot to bring it up during the appointment.
• There was not enough time during my appointment.
• The doctor seemed too rushed or not open to questions.
• I felt intimidated or worried about questioning the doctor.
• I felt too anxious or embarrassed to ask.
• I assumed I could just research the answers myself online.
• I did not think the answers would change my treatment anyway.
• Other SPECIFY
• I don't know exclusive

C-phy C-psy O-phy O-soc M-ref M-auto

I did not know what specific questions to ask - C(psy) Lack of knowledge to initiate I forgot to bring it up during the appointment - C(psy) Memory/cognitive load There was not enough time during my appointment - O(phy) Environmental constraint The doctor seemed too rushed or not open to questions - O(soc) Interpersonal barrier I felt intimidated or worried about questioning the doctor - O(soc) Power dynamic/cultural barrier I felt too anxious or embarrassed to ask - M(auto) Negative emotional response I assumed I could just research the answers myself online - M(ref) Conscious choice of a different path I did not think the answers would change my treatment anyway - M(ref)Low perceived value/utility

Provides a direct COM-B barrier diagnostic for patient activation

Here is a description for a botox brand - please read this carefully. Once you are done I would like to ask you some questions about it.

type not stated · Modified · Priority H · Main / Concept evaluation

Merz to provide

How likely are you to choose Product X over your current brand?

Scale 0-10 (Scale) · Retained · Priority H · Main / Concept evaluation

• 0 - I will stay with my current brand ↳ routes
• 1 ↳ routes
• 2 ↳ routes
• 3 ↳ routes
• 4 ↳ routes
• 5 ↳ routes
• 6 ↳ routes
• 7 ↳ routes
• 8 ↳ routes
• 9 ↳ routes
• 10 - I will choose Product X ↳ routes

M-ref

How likely would you be to ask your doctor about this product?

Scale 0-10 (Scale) · New · Priority H · Main / Concept evaluation

• 0 - I would definitely NOT ask my doctor
• 1
• 2
• 3
• 4
• 5
• 6
• 7
• 8
• 9
• 10 - I would definitely ask my doctor

M-ref

Reflective of internal drive and decision making

How likely are you to recommend Product X to others?

Scale 0-10 (Scale) · Modified · Priority H · Main / Concept evaluation

• 0 - I would definitely NOT recommend Product X
• 1
• 2
• 3
• 4
• 5
• 6
• 7
• 8
• 9
• 10 - I would definitely recommend Product X

O-soc M-ref

I feel that This Botox brand is…

type not stated · New · Priority L · Main / Concept evaluation

C-psy

Comprehension

Scale 0-10 (Scale) · New · Priority L · Main / Concept evaluation

• 0 - NOT AT ALL easy to understand
• 1
• 2
• 3
• 4
• 5
• 6
• 7
• 8
• 9
• 10 - EXTREMELY EASY to understand

Credible

Scale 0-11 (Scale) · New · Priority L · Main / Concept evaluation

• 0 - The information presented is NOT AT ALL believable/credible
• 1
• 2
• 3
• 4
• 5
• 6
• 7
• 8
• 9
• 10 - The information presented is COMPLETELY believable/credible

M-ref

Relevance

Scale 0-13 (Scale) · New · Priority L · Main / Concept evaluation

• 0 - Satisfies my need MUCH LESS than my current product
• 1
• 2
• 3
• 4
• 5
• 6
• 7
• 8
• 9
• 10 - Satisfies my need FAR MORE than my current product

Uniqueness

Scale 0-13 (Scale) · New · Priority L · Main / Concept evaluation

• 0 - NOT AT ALL new and different
• 1
• 2
• 3
• 4
• 5
• 6
• 7
• 8
• 9
• 10 - COMPLETELY new and different

Compared with the brand you use now, how much more, if anything, would you be willing to pay for Product X?

Scale 0-10 (Scale) · Modified · Priority H · Main / Concept evaluation

• I am not willing to pay more
• Up to 10% more
• 11-15% more
• 16-20% more
• 21-30% more
• Over 30% more

M-ref

Where do you typically get information or advice on aesthetic botox treatments?

Multiple answer (MA) · Modified · Priority H · Main / Information channels

• Aesthetic doctors/dermatologists, plastic surgeons ↳ routes
• GP or family doctor ↳ routes
• Clinic nurses/consultants ↳ routes
• Beauticians/beauty therapists at a beauty salon ↳ routes
• Friends, family, or colleagues ↳ routes
• Social media influencers, content creators, or celebrities ↳ routes
• Search engines (e.g., Google, Yahoo) ↳ routes
• AI chatbots (ChatGPT, Claude, etc.) ↳ routes
• Online forums/communities (e.g. Reddit, Facebook groups) ↳ routes
• Online reviews or rating sites ↳ routes
• Health or clinic websites ↳ routes
• Botulinum toxin brand advertisements (TV, print, billboard, etc.) ↳ routes
• Botulinum toxin brand or manufacturer information (product websites, brochures) ↳ routes
• Medical professional bodies (e.g., Association of Dermatologists or Plastic Surgeons) ↳ routes
• Government or health authority sources (e.g. Ministry of Health) ↳ routes
• Other SPECIFY ↳ routes
• I don't remember exclusive

O-phy O-soc

Response options represent the environmental (O-phy) and interpersonal O-soc) access the respondent has to information

Which of these sources do you consult MOST FREQUENTLY?

Grid per row (Grid) · Modified · Priority H · Main / Information channels

“Ask for responses selected at Qx”

• Aesthetic doctors/dermatologists, plastic surgeons
• GP or family doctor
• Clinic nurses/consultants
• Beauticians/beauty therapists at a beauty salon
• Friends, family, or colleagues
• Social media influencers, content creators, or celebrities
• Search engines (e.g., Google, Yahoo)
• AI chatbots (ChatGPT, Claude, etc.)
• Online forums/communities (e.g. Reddit, Facebook groups)
• Online reviews or rating sites
• Health or clinic websites
• Botulinum toxin brand advertisements (TV, print, billboard, etc.)
• Botulinum toxin brand or manufacturer information (product websites, brochures)
• Medical professional bodies (e.g., Association of Dermatologists or Plastic Surgeons)
• Government or health authority sources (e.g. Ministry of Health)
• Other SPECIFY

O-phy O-soc

Which city do you live in? (US)

Single (SA) · Retained · Priority M · Close / Profiling

What type of work do you do?

Single (SA) · Retained · Priority H · Close / Profiling

• Professional or higher technical work - work that requires at least degree-level qualifications (e.g., accountant, school teacher, university lecturer, social worker, systems analyst)
• Manager or Senior Administrator (e.g., company director, finance manager, personnel manager, senior sales manager, senior local government officer)
• Clerical (e.g., clerk, secretary, administrative assistant)
• Sales or Services (e.g., commercial traveller, shop assistant, nursery nurse, care assistant, paramedic, customer service)
• Supervisor of Other Workers (e.g., supervisor of cleaning workers)
• Skilled Manual Work (e.g., cook, hairdresser)
• Semi-Skilled or Unskilled Manual Work (e.g., machine operator, assembler, waiter, cleaner, bar worker, call centre worker)
• Others
• Prefer not to state

O-soc

Are you happy to be contacted again for further research?

Single (SA) · Retained · Priority M · Close / Close

• Yes
• No