Sample Client Feedback Form

Client Feedback Form
Customer #
Name - OPTIONAL

First NameLast Name
How was your most recent treatment?

Other
Would you book your next treatment with us again?

Other
How would you rate your treatment on a scale of 1 through 5, with 5 being the best and 1 being the worst massage you ever had?

1

2

3

4

5

1 is Worst, 5 is Best
Any suggestions for us to improve quality of service?
Suggestions
May we publish your feedback with an anonymous name for you so that we might attract more clients like you?

Other
Thank you for your feedback and we will get back to you if you had any concerns, we would love for you to reschedule your next appointment with us.

If you leave a positive review of your service on Google Review or Facebook you will receive 10% off your next service.

Have a wonderful day and we look forward to seeing you soon.
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