Identity Chiropractic Client Feedback
Thank you for being part of the Identity Chiropractic family. We’re always looking for ways to improve your experience and deliver even more value. Your honest feedback helps us grow, serve you better, and create content that truly matters to you. This will only take 2-3 minutes to complete. We appreciate you!
Back
Next
Section 1: What Do You Love About Our Clinic?
What made you choose Identity Chiropractic? (select all that apply)
Positive reviews and reputation.
The doctors’ expertise and approach.
The combination of chiropractic and rehab.
A friend or family referred me.
Clean, welcoming atmosphere.
Location and convenience.
Services for prenatal/postpartum/ family wellness.
Services for rehab/strength training.
Value.
What do you enjoy most about your experience with our clinic? (select all that apply)
Doctors who take time and care.
Thorough rehab and exercise support.
Hands-on adjustments/manual therapy.
Atmosphere and facility (gym + clinic vibe).
Ease of scheduling.
Education about my body, pain, and recovery.
Value for service.
Other
How would you describe Identity Chiropractic to a friend or family member? (feel free to be as descriptive or short as desired)
What 3 words would you use to describe Identity Chiropractic? (Multiple choice – pick 3)
Friendly
Professional
Modern
Expert
Empowering
Welcoming
Trustworthy
Supportive
Educational
Other
Back
Next
Section 2: Suggestions for Improvement
Have you ever felt confused, frustrated, or unclear about any part of your care?
No, everything has been clear!
Maybe, but it wasn't a big issue.
Yes, at the beginning.
Yes, recently.
Yes, ongoing confusion. (if yes, please explain.)
How satisfied are you with the following?
Very Satisfied
Satisfied
Neutral
Unsatisfied
Very Unsatisfied
Communication and explanation of care
Quality of chiropractic treatment
Quality of rehab and exercise support
Scheduling ease and availability
Facility/clinic environment
Overall Experience
What services would you like us add or offer more of?
Group rehab or mobility classes
Yoga classes (prenatal and general)
Decompression
Nutritional products
Rehab products
Workshops or community events
None - I'm happy with the current offerings.
Other
Back
Next
Section 3: Email & Content Preferences
What content would you like to receive from us?(Select all that apply)
Pain relief tips
Stretch and mobility routines
Strength and rehab tips
Nutrition for healing and longevity
Client success stories
Family wellness and pregnancy tips
Pediatric wellness/health tips
Longevity and health span education
Other
How often do you want to receive emails from us?
Weekly
Biweekly
Monthly
Only when there is an update
Back
Next
Section 4: Wrap-Up
10. On a scale of 1-10, how likely are you to recommend Identity Chiropractic to a friend, family member, or coworker? (Scale 1 = Not at all, 10 = Absolutely)
Not at all
1
2
3
4
5
6
7
8
9
Absolutely!
10
1 is Not at all, 10 is Absolutely!
Overall, how satisfied are you with your experience? (Single choice)
Extremely Satisfied
Satisfied
Neutral
Unsatisfied
Very Unsatisfied
Would you be open to sharing a short testimonial about your experience?
Yes (if yes, please describe below)
No
Thank you for taking the time to share your feedback. We are grateful to have you as part of the Identity Chiropractic community. Your input directly helps us improve and continue providing world-class care.
Team IC
Submit
Should be Empty: