Customer Survey

Please take a moment to complete this form to help us improve our services.

Your Practitioner
a. Approachable
b. Organized
c. Openness
d. Sincerity
e. Flexible in changing appointments
f. Information
The Program
a. Personal attention
b. Variety of techniques (if applicable)
c. Variety of equipments (if applicable)
d. Confidence of the Practitioner
e. Overall satisfaction
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