Customer satisfaction Body 4 Life Healthcare
Exit this survey
1. Default Section
1
. What do you like most about our office?
What do you like most about our office?
2
. Have you ever had any trouble scheduling an appointment?
Have you ever had any trouble scheduling an appointment?
Yes
No
Comments welcome
3
. Have you ever experienced a busy signal calling Body 4 Life Healthcare?
Have you ever experienced a busy signal calling Body 4 Life Healthcare?
Yes
No
Comments welcome
4
. Is the amount of time you wait to see the chiropractor acceptable?
Is the amount of time you wait to see the chiropractor acceptable?
Yes
No
Comments welcome
5
. What ways would you change the staff, office or procedures we use to improve the quality of care?
What ways would you change the staff, office or procedures we use to improve the quality of care?
6
. How would you rate the staff?
1 Uninterested
2 Somewhat interested
3 Mediocre
4 Interested
5 Concerned
6 Extremely concerned
Concern shown?
*
How would you rate the staff? Concern shown? 1 Uninterested
Concern shown? 2 Somewhat interested
Concern shown? 3 Mediocre
Concern shown? 4 Interested
Concern shown? 5 Concerned
Concern shown? 6 Extremely concerned
Attentiveness?
Attentiveness? 1 Uninterested
Attentiveness? 2 Somewhat interested
Attentiveness? 3 Mediocre
Attentiveness? 4 Interested
Attentiveness? 5 Concerned
Attentiveness? 6 Extremely concerned
Willingness to help?
Willingness to help? 1 Uninterested
Willingness to help? 2 Somewhat interested
Willingness to help? 3 Mediocre
Willingness to help? 4 Interested
Willingness to help? 5 Concerned
Willingness to help? 6 Extremely concerned
Comments welcome
7
. How would you rate the staff?
Terrible
Poor
Mediocre
Good
Great
Exceptional
Efficiency
*
How would you rate the staff? Efficiency Terrible
Efficiency Poor
Efficiency Mediocre
Efficiency Good
Efficiency Great
Efficiency Exceptional
Competency
Competency Terrible
Competency Poor
Competency Mediocre
Competency Good
Competency Great
Competency Exceptional
Qualifications
Qualifications Terrible
Qualifications Poor
Qualifications Mediocre
Qualifications Good
Qualifications Great
Qualifications Exceptional
Friendliness
Friendliness Terrible
Friendliness Poor
Friendliness Mediocre
Friendliness Good
Friendliness Great
Friendliness Exceptional
Comments welcome
8
. What kind of comments have you heard from friends and family when you’ve told them about seeing a chiropractor?
What kind of comments have you heard from friends and family when you’ve told them about seeing a chiropractor?
9
. Referral Inquiry:
Referral Inquiry:
• I have referred family or friends to this office
• I would gladly refer family or friends to this office
• I would not refer family or friends to this office
Comments welcome
10
. Please indicate perceived value for money?
Good value
What I would expect to pay
Slightly expensive
Expensive
Extremely expensive
•Initial Consultation(£50)
*
Please indicate perceived value for money? •Initial Consultation(£50) Good value
•Initial Consultation(£50) What I would expect to pay
•Initial Consultation(£50) Slightly expensive
•Initial Consultation(£50) Expensive
•Initial Consultation(£50) Extremely expensive
•Regular Visit (£45)
•Regular Visit (£45) Good value
•Regular Visit (£45) What I would expect to pay
•Regular Visit (£45) Slightly expensive
•Regular Visit (£45) Expensive
•Regular Visit (£45) Extremely expensive
•Gaitscan (£45)
•Gaitscan (£45) Good value
•Gaitscan (£45) What I would expect to pay
•Gaitscan (£45) Slightly expensive
•Gaitscan (£45) Expensive
•Gaitscan (£45) Extremely expensive
•Orthotics 1st pair(£270)
•Orthotics 1st pair(£270) Good value
•Orthotics 1st pair(£270) What I would expect to pay
•Orthotics 1st pair(£270) Slightly expensive
•Orthotics 1st pair(£270) Expensive
•Orthotics 1st pair(£270) Extremely expensive
•Orthotics 2nd pair(£170)
•Orthotics 2nd pair(£170) Good value
•Orthotics 2nd pair(£170) What I would expect to pay
•Orthotics 2nd pair(£170) Slightly expensive
•Orthotics 2nd pair(£170) Expensive
•Orthotics 2nd pair(£170) Extremely expensive
•X-rays 1 area (£90)
•X-rays 1 area (£90) Good value
•X-rays 1 area (£90) What I would expect to pay
•X-rays 1 area (£90) Slightly expensive
•X-rays 1 area (£90) Expensive
•X-rays 1 area (£90) Extremely expensive
Comments welcome
Powered by
SurveyMonkey
Create your own
free online survey
now!
Javascript is required for this site to function, please enable.