Exit this survey Acupuncture Survey 1. Acupuncture Survey A Short Questionnaire to gain feedback about people's experience of Acupuncture Treatment Question Title * 1. What is your name and how old are you? Question Title * 2. Where do you live? Name: Address: Address 2: City/Town: State: ZIP/Postal Code: Email Address: Phone Number: Question Title * 3. Please describe what you came to have Acupuncture for: Question Title * 4. How did you benefit from treatment? Question Title * 5. How would you describe your overall experience of having Acupuncture with Nicola? Question Title * 6. Did you experience any side effects to Acupuncture treatment? Question Title * 7. Please could you describe what you expected from Acupuncture treatment and whether the actual experience differed from your expectations in any way: Question Title * 8. How long ago was your last session, and how are the problems now that you first came to have treatment for? Question Title * 9. What did you value most about coming for Acupuncture Treatment? Question Title * 10. Would you recommend Acupuncture with Nicola to anyone? If so, please can you say who you would recommend it to and why: Done