Guest Satisfaction Survey
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1
. What services have you used at Place360?
What services have you used at Place360?
2
. How responsive to your needs, likes and dislikes was your last therapist or health practitioner?
How responsive to your needs, likes and dislikes was your last therapist or health practitioner?
Very responsive
Somewhat responsive
neutral
slightly unresponsive
Not at all responsive
Name of therapist:
3
. How helpful was the front desk representative in making your appointment?
How helpful was the front desk representative in making your appointment?
Extremely helpful
Very helpful
Moderately helpful
Slightly helpful
Not at all helpful
Comments:
4
. How helpful was our front desk upon arrival and departure?
How helpful was our front desk upon arrival and departure?
Extremely helpful
Very helpful
Moderately helpful
Slightly helpful
Not at all helpful
Comments:
5
. Overall, rate your satisfaction with the facility and environment at Place360?
Overall, rate your satisfaction with the facility and environment at Place360?
Extremely satisfied
Moderately satisfied
Slightly satisfied
Neither satisfied nor dissatisfied
Slightly dissatisfied
Moderately dissatisfied
Extremely dissatisfied
Additional Comments/Feedback
6
. Were you satisfied with your last experience? Please provide any comments that help explain the reason for your answer.
Were you satisfied with your last experience? Please provide any comments that help explain the reason for your answer.
Extremely satisfied
Moderately satisfied
Slightly satisfied
Neither satisfied nor dissatisfied
Slightly dissatisfied
Moderately dissatisfied
Extremely dissatisfied
Comments:
7
. What did/do you like most about our services?
What did/do you like most about our services?
8
. What changes would most improve your comfort and/or enjoyment of our services?
What changes would most improve your comfort and/or enjoyment of our services?
9
. How likely are you to use the services of Place360 again?
How likely are you to use the services of Place360 again?
Extremely likely
Very likely
Moderately likely
Slightly likely
Not at all likely
Explain why you would/would not use again:
10
. How likely is it that you would recommend Place360 to a friend or colleague?
How likely is it that you would recommend Place360 to a friend or colleague?
I would definitely not recommend
I am not likely to recommend
I might recommend, but with some hesitation
I will most likely recommend to some people
I am a fan and would recommend with strong confidence
Other (please specify)
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