Customer Survey
We would very much appreciate your feedback as to our service
Overall satisfaction of Appointment booking
Rows
Very satisfied
Satisfied
Neutral
Unsatisfied
Very unsatisfied
Friendliness
Knowledge
Timeliness
Suggestions to improve?
Overall satisfaction of Reception and Waiting area
Rows
Very satisfied
Satisfied
Neutral
Unsatisfied
Very unsatisfied
Friendliness
Knowledge
Comfort
Suggestions to improve?
Overall satisfaction with your Counsellor and Counselling
Rows
Very satisfied
Satisfied
Neutral
Unsatisfied
Very unsatisfied
Friendliness
Knowledge
Effectiveness
Suggestions to improve?
Would you recommend our service to others?
Yes
No
Maybe
Can you say more about your answer as above? And any other thoughts on how we can improve our service?
Would you like us to contact you about your feedback? (please leave name and email or 'phone number)
Yes
No
Name (optional)
First Name
Last Name
contact
email
'phone number
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