Advantage 4 Athletes Chiropratic Services/Massage Therapy

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1. What service did you come to Advantage 4 Athletes for?

What service did you come to Advantage 4 Athletes for?   Chiropractic Massage Therapy Athletic Therapy Acupuncture Personal Training Group Exercise/Bootcamps

Other (please specify)

2. How satisfied are you with the service you receive from Advantage 4 Athletes Therapy Clinic?

How satisfied are you with the service you receive from Advantage 4 Athletes Therapy Clinic?   Extremely satisfied Moderately satisfied Slightly satisfied Neither satisfied nor dissatisfied Slightly dissatisfied Moderately dissatisfied Extremely dissatisfied

Please let us know how we could improve our service

3. How friendly is the clinic's office staff?

How friendly is the clinic's office staff?   Extremely friendly Very friendly Moderately friendly Slightly friendly Not at all friendly

Any suggestions?

4. How satisfied are you with your doctor or massage therapist?

How satisfied are you with your doctor or massage therapist?   Extremely satisfied Moderately satisfied Slightly satisfied Neither satisfied nor dissatisfied Slightly dissatisfied Moderately dissatisfied Extremely dissatisfied

Please provide any suggestions for improvement.

5. During a typical office visit, does your doctor spend too much time with you, too little time with you, or about the right amount of time with you?

During a typical office visit, does your doctor spend too much time with you, too little time with you, or about the right amount of time with you?   Much too much Somewhat too much Slightly too much About the right amount Slightly too little Somewhat too little Much too little

6. How likely are you to recommend us to others?

How likely are you to recommend us to others?   Extremely likely Very likely Moderately likely Slightly likely Not at all likely

What could we do that would help you recommend us to others?

7. If you know of any family, friends, or colleagues that could benefit from our services, please provide a name and email or phone number where this individual can be reached.

If you know of any family, friends, or colleagues that could benefit from our services, please provide a name and email or phone number where this individual can be reached.

8. We are going to be sending out a bimonthly e-newsletter with health, nutrition, fitness, and injury prevention topics. Please provide any topics that you would like to see addressed in these issues.

We are going to be sending out a bimonthly e-newsletter with health, nutrition, fitness, and injury prevention topics. Please provide any topics that you would like to see addressed in these issues.

9. What else can we do here at Advantage 4 Athletes to make your experience more enjoyable?

What else can we do here at Advantage 4 Athletes to make your experience more enjoyable?

10. Please leave your email address if you would like to be entered into the draw to win a $10 Starbucks gift card. (One gift card to be given away for every ten surveys returned)

Please leave your email address if you would like to be entered into the draw to win a $10 Starbucks gift card. (One gift card to be given away for every ten surveys returned)