We hope you enjoyed your treatment! To help us better serve you, please complete this CONFIDENTIAL survey.

* 1. How would you rate the process for booking appointments?

* 2. How would you rate the quality of your treatment?

* 3. How would you rate the quality of the customer service with the staff at our office?

* 4. Overall; would you recommend this clinic to your friends, co-workers, and family?

* 5. If you wish to receive a response, please include your details below: