Jon Hinchliffe Hypnotherapy
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1.

Thank you for using Jon Hinchliffe Hypnotherapy.

To maximise my ability to help others your views are of great importance to me.

I look forward to receiving your feedback.

1. Please enter any details you are happy to share with me

Please enter any details you are happy to share with me Name:
Address 1:
Address 2:
City/Town:
County:
Postal Code:
Email Address:
Phone Number:

2. Approximately how long is it since your last appointment?

Approximately how long is it since your last appointment?

3. How satisfied were you with the work we did together?

	Very Satisfied	Pleased	Neither Satisfied or dissatisfied	Unhappy	Very dissatisfied
Overall changes	*How satisfied were you with the work we did together? Overall changes Very Satisfied	Overall changes Pleased	Overall changes Neither Satisfied or dissatisfied	Overall changes Unhappy	Overall changes Very dissatisfied
Professionalism	Professionalism Very Satisfied	Professionalism Pleased	Professionalism Neither Satisfied or dissatisfied	Professionalism Unhappy	Professionalism Very dissatisfied
Speed of your changes	Speed of your changes Very Satisfied	Speed of your changes Pleased	Speed of your changes Neither Satisfied or dissatisfied	Speed of your changes Unhappy	Speed of your changes Very dissatisfied
Value for money	Value for money Very Satisfied	Value for money Pleased	Value for money Neither Satisfied or dissatisfied	Value for money Unhappy	Value for money Very dissatisfied
Venue	Venue Very Satisfied	Venue Pleased	Venue Neither Satisfied or dissatisfied	Venue Unhappy	Venue Very dissatisfied

4. How quickly did you notice the changes you have made?

How quickly did you notice the changes you have made? Instantly

In between sessions

Only when I think back to how I was

5. Do you have any suggestions on how I can improve my services?

Do you have any suggestions on how I can improve my services?

6. Are you prepared to write me a testimonial I can use for promotion?

Are you prepared to write me a testimonial I can use for promotion? Yes

Yes, but could you suggest the text for me?

Testimonal

7. Would you consider being used as a success case for Promotional work in the press?

Would you consider being used as a success case for Promotional work in the press? Yes

8. Any other comments

Any other comments

Thank you for your time.

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Jon Hinchliffe HypnotherapyExit this survey

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Jon Hinchliffe Hypnotherapy
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