Briggs Family Chiropractic Patient Survey
1.
How likely is is that you would recommend Briggs Family Chiropractic?
Very likely
Likely
Neither likely nor unlikely
Unlikely
Very unlikely
2.
Overall how satisfied are you with Briggs Family Chiropractic?
Very satisfied
Satisfied
Neither satisfied nor dissatisfied
Dissatisfied
Very dissatisfied
3.
Which of the words/phrases would you use to describe Briggs Family Chiropractic? Select all that apply.
Convenient
Friendly
Useful information
Quality care
Good value
Too far (distance)
Unhelpful
Poor care
4.
How well has our care helped you feel better (either once or ongoing)?
A great deal
A lot
A moderate amount
A little
None at all
5.
How responsive have we been to questions, appointments, etc.?
Extremely responsive
Very responsive
Somewhat responsive
Not so responsive
Not at all responsive
6.
What made you first visit Briggs Family Chiropractic?
Social Media Post
Referral
Drive By
Postcard
Special Marketing Item (i.e. school sponsorship)
7.
How many visits have you made to Briggs Family Chiropractic?
1-5
6-15
16+
8.
What would make you visit Briggs Family Chiropractic more? (Check all that apply)
Marion (IN) Location
Other location (please specify in box below)
Took insurance (please specify in box below)
Lower cost adjustment
More services (i.e. decompression tables, massage, etc.)
More products (i.e. supplements, oils, etc.)
I only visit when in pain
Other (please specify in box below)
9.
Briggs Family Chiropractic could help me with... (check all that apply)
More frequent blog posts on health
Health books in office
More frequent newsletters
Speaking on health at my company/organization
More information on food/nutrition
Other (please specify in the box below)
10.
Please feel free to share any other information, comments, or suggestions here. Also, if you checked any boxes above that needed more information- please share that here.