Your Name (required)
Your Email (required)
How would you rate your overall satisfaction with us?
Very satisfiedSomewhat satisfiedNeutralSomewhat dissatisfiedVery dissatisfied
How likely is it that you would recommend us to a friend/colleague?
Very likelySomewhat likelyNeutralSomewhat unlikelyVery unlikely
Do you have any suggestions for improving our services?
Which range includes your age?
Younger than 1818 - 2425 - 3435 - 4445 - 5455 - 6465 or olderPrefer not to answer
Please complete the following.
Was better than expectedMatched expectationsWas worse than expected
How long have you been a customer?
Less than 6 months6 months to less than 1 year1 year to less than 3 years3 years to less than 5 years5 years or more
What products/treatments do you use of ours?
How frequently do you use our services?
Every weekEvery 2 - 3 weeksEvery monthEvery 2 - 3 monthsEvery 4 - 6 monthsOnce or twice a year
How would you rate your customer service today?
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