Patient Satisfaction Survey
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1. How long have you been a patient at Vancouver Holistic Health or Laser Health Solutions?

How long have you been a patient at Vancouver Holistic Health or Laser Health Solutions? Less than 3 months

Less than 6 months

6 months to 1 year

1-3 years

Over 3 years

2. How often do you visit the clinic, on average?

How often do you visit the clinic, on average? More than once per week

2 to 3 times per month

Once per month

Once every 3 to 6 months

Once per year

3. Overall, how satisfied are you with the service and care you receive?

Overall, how satisfied are you with the service and care you receive? 5-Very satisfied

4-Somewhat satisfied

3-Neither satisfied nor dissatisfied

2-Somewhat dissatisfied

1-Very dissatisfied

Please tell us why you feel that way:

4. Would you be interested in attending low-cost educational workshops (2-3 hours) offered in the evenings or on weekends to support your journey to well-being?

Would you be interested in attending low-cost educational workshops (2-3 hours) offered in the evenings or on weekends to support your journey to well-being? Yes

5. If YES, what topics would you like to learn more about in regards to your health and well-being?

If YES, what topics would you like to learn more about in regards to your health and well-being? Allergies Asthma Autoimmune Diseases Cancer Cardiac Disease Chelation and IV Therapies Chronic Fatigue	Colds and Flu Digestive Issues Fibromyalgia General Disease Prevention Strategies Healthy Eating Strategies Heavy Metal Toxicity Infertility	Low Light Laser Therapy for Soft Tissue Injuries Skin/Dermal Conditions (Acne, Psoriasis, Eczema) Sleep Disorders Thyroid (Over/Under Active) Weight Loss Women's Hormonal Issues
Other (please specify)

6. How Satisfied are you with the following characteristics of our patient services?

	5-Very satisfied	4-Somewhat satisfied	3-Neither satisfied nor dissatisfied	2-Somewhat dissatisfied	1-Very dissatisfied
Quality of care by practitioner	*How Satisfied are you with the following characteristics of our patient services? Quality of care by practitioner 5-Very satisfied	Quality of care by practitioner 4-Somewhat satisfied	Quality of care by practitioner 3-Neither satisfied nor dissatisfied	Quality of care by practitioner 2-Somewhat dissatisfied	Quality of care by practitioner 1-Very dissatisfied
New patient experience	New patient experience 5-Very satisfied	New patient experience 4-Somewhat satisfied	New patient experience 3-Neither satisfied nor dissatisfied	New patient experience 2-Somewhat dissatisfied	New patient experience 1-Very dissatisfied
Value	Value 5-Very satisfied	Value 4-Somewhat satisfied	Value 3-Neither satisfied nor dissatisfied	Value 2-Somewhat dissatisfied	Value 1-Very dissatisfied
On-going patient requirements (purchasing supplements, phone queries, etc.)	On-going patient requirements (purchasing supplements, phone queries, etc.) 5-Very satisfied	On-going patient requirements (purchasing supplements, phone queries, etc.) 4-Somewhat satisfied	On-going patient requirements (purchasing supplements, phone queries, etc.) 3-Neither satisfied nor dissatisfied	On-going patient requirements (purchasing supplements, phone queries, etc.) 2-Somewhat dissatisfied	On-going patient requirements (purchasing supplements, phone queries, etc.) 1-Very dissatisfied
Front desk experience	Front desk experience 5-Very satisfied	Front desk experience 4-Somewhat satisfied	Front desk experience 3-Neither satisfied nor dissatisfied	Front desk experience 2-Somewhat dissatisfied	Front desk experience 1-Very dissatisfied

7. Thinking of your most recent experience with our clinic, how much do you agree with the following statements?

	5-Strongly agree	4-Somewhat agree	3-Neither agree nor disagree	2-Somewhat disagree	1-Strongly disagree
The service/care I received was worth the fee	*Thinking of your most recent experience with our clinic, how much do you agree with the following statements? The service/care I received was worth the fee 5-Strongly agree	The service/care I received was worth the fee 4-Somewhat agree	The service/care I received was worth the fee 3-Neither agree nor disagree	The service/care I received was worth the fee 2-Somewhat disagree	The service/care I received was worth the fee 1-Strongly disagree
The Clinic does what it claims	The Clinic does what it claims 5-Strongly agree	The Clinic does what it claims 4-Somewhat agree	The Clinic does what it claims 3-Neither agree nor disagree	The Clinic does what it claims 2-Somewhat disagree	The Clinic does what it claims 1-Strongly disagree
The practitioners provide what I need	The practitioners provide what I need 5-Strongly agree	The practitioners provide what I need 4-Somewhat agree	The practitioners provide what I need 3-Neither agree nor disagree	The practitioners provide what I need 2-Somewhat disagree	The practitioners provide what I need 1-Strongly disagree
The Clinic services are competitively priced	The Clinic services are competitively priced 5-Strongly agree	The Clinic services are competitively priced 4-Somewhat agree	The Clinic services are competitively priced 3-Neither agree nor disagree	The Clinic services are competitively priced 2-Somewhat disagree	The Clinic services are competitively priced 1-Strongly disagree

Thank you for your valuable time and input.

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Patient Satisfaction SurveyExit this survey