Victoria Street Chiropractic
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1. Default Section
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1
. I have been a patient or client at Victoria Street Chiropractic:
I have been a patient or client at Victoria Street Chiropractic:
1 time
2-4 times
5-10 times
> 10 times
2
. The practitioner who provided care was:
(you may choose more than one)
The practitioner who provided care was: (you may choose more than one)
Dr. Elvyn Gropp
Dr. Heidi Mathewson
Kiran Notay, RMT
Christina Conte, RMT
Allison Dunlop, RMT
Heather Laval, RRPr
3
. The practitioner was: friendly, helpful, sensitive and treated me with respect:
The practitioner was: friendly, helpful, sensitive and treated me with respect:
rarely or never
sometimes
about half the time
most of the time
always
4
. Please rate how well the practitioner listened to what you had to say.
Please rate how well the practitioner listened to what you had to say.
very poor
poor
fair
good
excellent
5
. Please rate how well the practitioner answered your questions.
Please rate how well the practitioner answered your questions.
very poor
poor
fair
good
excellent
6
. How effective did you find the care?
How effective did you find the care?
Not at all
Somewhat
Satisfactory
Very
7
. Please rate the overall care that you received while at our clinic.
Please rate the overall care that you received while at our clinic.
very poor
poor
fair
good
excellent
8
. Do you have enough confidence in our clinic to refer your family or friends?
Do you have enough confidence in our clinic to refer your family or friends?
Yes
No
Maybe
9
. Which of the following services would you be interested in receiving more information on?
Which of the following services would you be interested in receiving more information on?
Chiropractic
Postural Rehabilitation of the Spine
Registered Massage Therapy
Reflexology
Reiki
Homeopathy
10
. Please give us your honest opinion of the care that you have received at the clinic. If there is anything that we can do to improve, we would like to know about it. If you are happy with the care that you have received, we are always happy to hear about that as well.
Thank you for taking the time to complete this survey. Your opinion is extremely important to us.
Please give us your honest opinion of the care that you have received at the clinic. If there is anything that we can do to improve, we would like to know about it. If you are happy with the care that you have received, we are always happy to hear about that as well. Thank you for taking the time to complete this survey. Your opinion is extremely important to us.
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