* 1. Please select a team member you wish to provide feedback on given your recent interactions with them.

* 2. Did you choose to see the above team member because of a personal recommendation from a friend, colleague, family member, teacher or coach?

* 3. How likely is it that you would recommend the above team member to a friend or colleague?

Not at all likely
Extremely likely

* 4. What changes would this team member have to make for you to give him/her a higher rating?

* 5. What does this team member do really well?

* 6. Our reception and admin team play an important role in your Back In Action experience.  We welcome your feedback on what they do really well and what, if anything, would have improved your experience from the front desk staff.

* 7. Is there anything you feel would have improved on your overall experience at Back In Action?

* 8. Your responses are anonymous unless you wish to leave your name below.  

In leaving your name below we will then be able to enter you into a draw at the end of this month to win a half hour massage! One entry per person. Winner will be notified by email or phone (which we will be able to access on file if you have provided your name)

Thank you for taking the time to complete our survey.  We really do appreciate your feedback.