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Fall 2024 Clinic Treatment Satisfaction Survey

Patient Experience
1.How satisfied are you with your overall experience at our clinic?
2.Was the scheduling process convenient and efficient?
3.How would you rate the cleanliness and comfort of our clinic?
4.How satisfied were you with the professionalism and friendliness of the staff?
5.Did you feel the acupuncturist took the time to understand your health concerns?
Treatment Effectiveness
6.How effective do you feel the treatment was in addressing your health concerns?
7.Have you noticed improvements in your condition since receiving treatment?
8.Would you recommend acupuncture at our clinic to others?
Areas for Improvement
9.What aspects of your experience could be improved?
10.Is there anything we can do to enhance your comfort during treatment sessions?
General Feedback
11.How would you rate the value of the services you received for the cost?
12.Do you have any additional comments or suggestions for us?
13.Please provide date of visit, your name, and the name of your practitioner. If you prefer to submit anonymously, skip this question.
14.Would you like to be added to our mailing list for monthly newsletters, promotions, etc?