STEP 1: Customer Details (completed by AM, PDA or PDC and emailed to [email protected])
6.17.16
Today’s Date: __________________________________ AM or PDA Assigned: ____________________________ 112104
Customer No: __________________________________ Queen's Skin Care
Business Name: ________________________________ 1914 Aborn Rd
Seminar Address: ______________________________ San Jose, CA 94121
_____________________________________________ _____________________________________________ Ship to Address (if different from above): same
_____________________________________________ Seminar Dates Provided by Account (provide 3 dates and communicate $500 Cancellation Fee) Wed, July 13th
1st Choice______________________________________ nd
Thurs, July 14th
2 Choice _____________________________________ rd
Tues, July 12th
3 Choice _____________________________________ 9am -5pm
Start & End Time Mandatory: __________________________ Anh/Kim
Account Contact Name: __________________________ [email protected]
Contact E‐Mail: _________________________________ (408) 274-2459
Contact Phone #: ________________________________ _____________________________________________ After Hours Phone #: ____________________________ _____________________________________________
3
Total Number of Attendees: _______________________ PCA GOALS (list prior product purchases, competitor products, products to upsell): ___________________________
they brought in Oxy Trio to start and good amount of retail. Would like to learn about Sensi and
_______________________________________________________________________________________________
other peels but starting out with focus on Oxy and Retail
_______________________________________________________________________________________________
List first and last name of each attendee with Responsibility (i.e., LE, MD, manager); include Account Contact if attending. Please check box next to name if contact is entered in NAV. Anh
____________________________________________ _____________________________________________ Kim Ly
____________________________________________ _____________________________________________ will
get
Anh's
last
name
and
email
you
____________________________________________ _____________________________________________ STEP 2: Seminar Content Details (completed by AM, PDA or PDC and Educator Confirms)
SELECT SEMINAR TYPE:
✔
PCA ADVANTAGE (8 hrs. includes 3 treatments, 6 hrs. includes 1 treatment, 4 hrs. includes 1 treatment and limited product specific info.) ENHANCING YOUR SERVICES (5.5 hours; select 2 or 3 modules listed below) ADVANCED PRACTICE BUILDING (4 hours) ENHANCING YOUR SERVICES MODULES* *Each module includes ONE hands‐on treatment except Injectables, Laser, Prescriptions & Cosmeceuticals and Cosmetic
Surgery. Please note Dermaplaning Certification Course includes 2 models per attendee. (A) PCA Professional Treatments: A Deep Dive (only covers
professional treatments and app. tech.) (2 hrs.) (B) Microdermabrasion (1 hr.) (C) Dermaplaning (45 min.) (D) Dermaplaning Certification Course (2 hrs. theory + 3 hrs. hands‐on; 2 models per attendee, acct must have blades) (E) Microneedling (1 hr.) (treatment not to exceed .25 mm) (F) Injectables (45 min.) (G) Laser including IPL (1 hr.) (H) Microcurrent (30 min.) (I) LED (45 min.) (J) Ultrasound (45 min.) (K) Radio Frequency (45 min.) (L) Mastering Advanced Applications (2 hrs.)
(M) Medium Depth and Deep Chemical Peels (1 hr.) (N) Prescriptions & Cosmeceuticals (45 min.) (O) Cosmetic Surgery (45 min.) (P) Body Treatments (30 min.) (Q) Facials (30 min.) (R) Waxing (30 min.) (S) Extractions (30 min.) (T) Ingredient & Product Knowledge (3 hrs.) (U) Additional Hands‐on (if cust. wants more hands‐on, this should be selected as its own module (est. 45 min. per treatment) (V) Innovative Tx. Options for Melasma & UV Induced Pig. (2.5 hrs.)
(W) ACNE: Treatment Beyond the Surface (2.5 hrs.)
(X) AGE: Next Generation Solutions (2.5 hrs.)
NOTES: ________________________________________ _____________________________________________
In‐Office Seminar Needs Assessment Form v. 3.16.16
Continued on next page
pcaskin.com | 877.PCA.SKIN [722.7546] STEP 3: Seminar On‐Site Details (Educator will confirm)
DEMO / TREATMENT: Communicate importance of hands‐on experience. It is best that attendees perform and experience the treatment to get the most out of the training. EYS DEMO / TREATMENT TIMES (45 min. each): Each module includes time for ONE hands‐on demonstration. Except for Dermaplaning Certification Module, which includes 2 models per attendee. Confirm who you are performing treatments on, complete patient profile forms and the best time to conduct treatments. Timing could be after each module or combining all treatments at the end of the day. If the account would like more hands‐on, select that as a module. Encourage attendees and other staff members to be models. _______________________________________________________________________________________________ _______________________________________________________________________________________________ ADV DEMO / TREATMENT TIMES (45 min. each): ADV includes 3 treatments to begin at the end of the day unless otherwise specified. _______________________________________________________________________________________________ _______________________________________________________________________________________________ CONFIRM NUMBER OF ATTENDEES: After confirming attendees listed under STEP 1, ask if this will be the maximum number of attendees. If they state there could be more, we need to know what the number will be. This is to ensure that we send enough materials to accommodate all attendees. This is critical to a successful classroom experience. _______________________________________________________________________________________________ _______________________________________________________________________________________________ REQUESTED MATERIALS: After discussing content and maximum number of attendees, do we need additional textbooks, brochures, etc. to be included in the order? If not, please state N/A: _______________________________________________________________________________________________ _______________________________________________________________________________________________ CUSTOMER EXPECTATIONS: Ask them what success looks like at the end of this training for their business and team. Clients are lovely. They are interested in peels but a little fearful. They have Korean, Asian clients so like our IBT and Pigment Gel.
_______________________________________________________________________________________________ _______________________________________________________________________________________________ Once the educator completes after discussing the educational needs with the account, the form should be emailed to the In‐Office Admin Team at [email protected] and the assigned Account Manager or Practice Development Advisor (PDA). Materials will arrive at the account’s location 3 business days prior to the seminar. If the educator does not communicate changes, we will ship materials for the original in‐office seminar and modules selected. In‐Office Seminar Needs Assessment Form v. 3.16.16
pcaskin.com | 877.PCA.SKIN [722.7546]