EmailMe Form - Life Giving Health Center Survey

Date of last visit: *

MM / DD / YYYY

1. Do you receive a warm greeting from our staff when you enter our business? *

2. Are you able to schedule appointments at the times most convenient for you? *

3. Do you find our business appearance to be neat and clean? *

4. Is the temperature of our treatment rooms comfortable for you? *

5. Does your therapist use techniques that meet your needs? *

6. Does your therapist communicate clearly so you feel comfortable before, during and after the session? *

7. Are you aware that you can book your appointments online? *

Yes

No

8. What would make you schedule online more often?

9. How would you like us to improve in the following areas:

LGHC massage service:

Therapists:

Receptionist:

10. How do you feel about the pricing at LGHC?

11. Would you refer LGHC to others?

Yes

No

If not, why?

12. Please use the space below to comment on any aspect of your massage at LGHC.