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โฑ Takes about 2 min

Treatment Feedback Survey

Thank you for visiting us today.
Your feedback helps us improve our treatments.

1
Your name (nickname OK)Required
2
Treatment received todayRequired
3
Overall satisfaction with treatmentRequired
1: Poor5: Excellent
4
Ratings by categoryRequired
๐Ÿชก Treatment effectiveness
๐Ÿ’ฌ Explanation & counselling
๐Ÿ  Cleanliness & atmosphere
๐Ÿ’ฐ Value for money
๐Ÿ˜Š Staff care & reassurance
5
What improved or stood out most?Required
0/300
6
Message or feedback for the clinicRequired
0/300
7
Would you visit us again?Required

You can review your answers on the next page