Lake Pointe Chiropractic Customer Satisfaction Survey

Exit this survey

 

1. Rate your level of satisfaction with the services at Lake Pointe Chiropractic.

	Not Satisfied		Neutral		Very Satisfied	N/A
Chiropractic	Rate your level of satisfaction with the services at Lake Pointe Chiropractic. Chiropractic Not Satisfied	Chiropractic	Chiropractic Neutral	Chiropractic	Chiropractic Very Satisfied	Chiropractic N/A
Massage	Massage Not Satisfied	Massage	Massage Neutral	Massage	Massage Very Satisfied	Massage N/A
Weight Loss	Weight Loss Not Satisfied	Weight Loss	Weight Loss Neutral	Weight Loss	Weight Loss Very Satisfied	Weight Loss N/A
Pain Management	Pain Management Not Satisfied	Pain Management	Pain Management Neutral	Pain Management	Pain Management Very Satisfied	Pain Management N/A
Other Services	Other Services Not Satisfied	Other Services	Other Services Neutral	Other Services	Other Services Very Satisfied	Other Services N/A

If you were not satisfied with our servcies, why?

2. Rate the following statements on your level of agreement or disagreement.

	Strongly Disagree	Disagree	Agree	Strongly Agree
I am happy with the care I have received here.	Rate the following statements on your level of agreement or disagreement. I am happy with the care I have received here. Strongly Disagree	I am happy with the care I have received here. Disagree	I am happy with the care I have received here. Agree	I am happy with the care I have received here. Strongly Agree
The staff was friendly during my visit.	The staff was friendly during my visit. Strongly Disagree	The staff was friendly during my visit. Disagree	The staff was friendly during my visit. Agree	The staff was friendly during my visit. Strongly Agree
The wait time was less than 10 minutes.	The wait time was less than 10 minutes. Strongly Disagree	The wait time was less than 10 minutes. Disagree	The wait time was less than 10 minutes. Agree	The wait time was less than 10 minutes. Strongly Agree

3. Would you change anything about your experience at Lake Pointe Chiropractic?

Would you change anything about your experience at Lake Pointe Chiropractic?

4. Were you able to schedule your desired appointment time?

Were you able to schedule your desired appointment time?   Yes No

5. Were your financial obligations and health insurance explained clearly?

Were your financial obligations and health insurance explained clearly?   Yes No

6. Would you come back to Lake Pointe Chiropractic?

Would you come back to Lake Pointe Chiropractic?   Yes No

If Not, Why?

7. If you have not been in recently, why?

If you have not been in recently, why?

8. Would you refer Lake Pointe Chiropractic to your friends and family?

Would you refer Lake Pointe Chiropractic to your friends and family?   Yes No

Other (please specify)