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Customer Satisfaction Survey

Thank you for taking a few moments to complete our customer satisfaction survey.  We know your time is valuable and we appreciate you spending the time to help us improve our service.

Your responses will help us know what we are doing right and where we can improve to meet the needs of customers. Your responses are confidential.

This survey will take approximately 3 minutes to complete.

About Your Visit

Which clinic did you attend?
How did you get to your visit with us?
How long have you used our service for?
What was the main reason for you using our service?
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
How often do you use our services?

How satisfied are you with the following characteristics of our service?

5 - Very satisfied
4 - Somewhat satisfied
3 - Neither satisfied nor dissatisfied
2 - Somewhat dissatisfied
1 - Very dissatisfied
Professionalism
Clinical Appearance
Clinic Cleanliness
Quality of products
Price
Convenient location
Parking
Customer service at appointment
Customer service on the phone
 
Overall customer satisfaction rating: *
 
What do you like about our service?
How could we improve our service?
Would you use our service again?
Would you recommend our services to others?