How Did We Do?
We are constantly looking to improve our service and would appreciate your opinion of your visit with us today. Please answer the questions below and drop in the box in reception. Thank you!
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Treatment Provided by:
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Assistant:
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Did we meet your scheduling needs?
Yes
Somewhat
No
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Did we handle your payment properly?
Yes
Somewhat
No
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Did you receive the treatment you needed?
Yes
Somewhat
No
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Were you treated courteously?
Yes
Somewhat
No
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Will you be returning to see us?
Yes
Somewhat
No
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Will you recommend us to others?
Yes
Somewhat
No
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What did you like best about your visit?
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How can we improve?
Your Name (optional):
Your information will not be sold or shared for any reason.
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