Patient Feedback Survey
Thank you for doing this survey!
We are interested in you honest opinions so that we can continue to improve our customer support.
1. Overall, how satisfied were you with the experience in our clinic today?
*
Extremely satisfied
Very satisfied
Somewhat satisfied
Not so satisfied
Not at all satisfied
2. How knowledgeable was the clinician who treated you today?
*
Extremely knowledgeable
Very knowledgeable
Somewhat knowledgeable
Not so knowledgeable
Not at all knowledgeable
3. How was the communication between the clinician and yourself today?
*
Excellent communication
Very good communication
Some communication (could be improved)
No communication
4. How much time did it take us to provide you with your treatments today?
*
Much shorted than expected
Shorter than expected
About what I expected
Longer than expected
Much longer than expected
5. Was the treatment you received today to your satisfaction?
*
YES
NO
6. Is there anything else that you think would improve our service?
7. How likely is it that you would recommend Freshfaced to a friend or colleague?
*
1
2
3
4
5
6
7
8
9
10
Not at all likely
Extremely likely
1 is Not at all likely, 10 is Extremely likely
Submit
Should be Empty: