Customer Survey

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

Your Practitioner
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a. Approachable
b. Organized
c. Openness
d. Sincerity
e. Flexible in changing appointments
f. Information
The Program
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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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