1. Total Health Systems New Patient Survey, Tell Us About Your Visit!

Thank you for visiting Total Health Systems!
We’re always looking for ways to improve your experience. Please take a minute to complete this short survey about your recent visit. Your feedback is confidential and greatly appreciated.
Thank you for being a valued part of our community.


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1. First/Last Name

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2. How did you choose our practice?

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3. At which location was your visit?

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4. Your impression of the staff on your first visit to Total Health Systems:

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5. Which provider did you see? (Check all that apply)

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6. Which licensed massage therapist did you see?

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7. Were you made aware of these other services that our facilities have to offer? (check all that apply)

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8. Overall, how satisfied were you with your Total Health Experience? (1=very poor, 5=excellent)

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9. Would you refer us to others?

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10. What suggestions would you make to improve our office, staff or procedures? Please be honest, we welcome ideas that will help us to serve you better!

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