We are in need of your feedback to help spread the word and better our practice. If you are able, please take a few minutes to fill out this questionnaire. We really appreciate it!

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* 1. Contact Information

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* 2. I give permission for Gladwin Family Chiropractic to use my responses for promotional purposes

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* 3. How do you feel about your chiropractic experience at Gladwin Family Chiropractic? How does this compare with previous healthcare experiences you may have had in the past?

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* 4. What problems were you experiencing before you came in? How were these resolved? How do you now feel about your health?

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* 5. How do you feel about the way you have been treated here in our office? How does this compare with other offices you have been to?

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* 6. Are there any products or supplements that you have purchased that you would recommend to others? If so, why?

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* 7. How affordable are services at Gladwin Family Chiropractic? How does this compare with other offices you have visited?

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* 8. Do you have any other comments, questions, suggestions or concerns?

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