Service Quality Form
Date
-
Month
-
Day
Year
Date
Name
First Name
Last Name
How long have you been using our services here at Rongoa Tuku Iho Healing?
Please Select
Less than 6 months
Between 6-12 months
Over 12 months
How often do you use our services at Rongoa Tuku Iho Healing?
Please Select
Weekly
Fortnightly
Monthly
When I feel I need to come in.
On a scale from 1-10 how satisfied are you with the current services provided?
Not satisfied at all
1
2
3
4
5
6
7
8
9
Extremely satisfied
10
1 is Not satisfied at all, 10 is Extremely satisfied
On a scale from 1-10 (10 being fantastic) how would you rate your experience with Rongoa Tuku Iho Healing Practitioners?
Very Poor
1
2
3
4
5
6
7
8
9
Fantastic
10
1 is Very Poor, 10 is Fantastic
Do you have any suggestions on what we can do to provide a better service?
What do you love/enjoy most about the services provided by Rongoa Tuku Iho Healing.
Submit
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