* 1. How would you rate your overall experience on a scale of 1-10? (one being very unsatisfied, ten being extremely satisfied)

* 2. How would rate the overall quality of your treatment on a scale of 1-10?

* 3. How would you rate the quality of the physical clinic space, overall?

* 4. How would you rate your parking experience?

* 5. How would you rate the physical reception/waiting area?

* 6. How would you rate your experience with reception, sign-in, etc.?

* 7. How would you rate your physical comfort during your treatment, e.g., temperature, noise levels, etc.?

* 8. What was your favorite and least favorite part of the experience overall, and what would you recomend improvements in?

* 9. How many times have you visited my website?

* 10. If you have visited my website, what did you like best and least, and what suggestions do you have for improvement?

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