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?
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Very satisfied
Mostly satisfied
Not so satisfied
Not at all satisfied
2. How comfortable was the waiting room?
*
Very comfortable
Somewhat comfortable
Not so comfortable
Very uncomfortable
3. How did you find the cleanliness of the clinic?
*
Very clean
Quite clean (could be improved)
Not very clean
4. Is there anything else that you think would improve our service?
5. How likely is it that you would recommend 656 Aesthetics 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
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