SATISFACTION SURVEYSATISFACTION SURVEYThank you for partnering with us to improve your well-being. We would like a few moments of time to ask you some questions to help us serve you better. Name* First Last Email* What treatment(s) did you have?* Please rate the following based on your experience: (5 star = Excellent, 1 star = Not Good)Ease of scheduling appointments?*ExcellentPretty goodNeutralNot so greatTerribleOffice environment, cleanliness, comfort, etc.?*ExcellentPretty goodNeutralNot so greatTerribleFriendliness of staff?*ExcellentPretty goodNeutralNot so greatTerribleLevel of trust in provider's decisions?*ExcellentPretty goodNeutralNot so greatTerribleHow well provider listens and answers questions?*ExcellentPretty goodNeutralNot so greatTerribleSpends appropriate amount of time with patients?*ExcellentPretty goodNeutralNot so greatTerribleFairness of price?*ExcellentPretty goodNeutralNot so greatTerribleSatisfaction with the results of your treatment?*ExcellentPretty goodNeutralNot so greatTerribleHow likely are you to recommend Delaware Integrative Medicine to family and friends?*Very likelySomewhat likelyNeutralSomewhat unlikelyVery unlikelyOverall experience?*ExcellentPretty goodNeutralNot so greatTerribleOverall satisfaction with your provider?*ExcellentPretty goodNeutralNot so greatTerribleWhat was your favorite part of your treatment?How did you find us?* Online search engine News article Seminar Website Social media (Facebook, Twitter, Pinterest, etc.) Referred by a friend Did you experience any problems, have suggestions, or other comments?May we post your review public?* Yes Yes, but only use my initials No, I would prefer my review remain private Would you like to subscribe to our newsletter?* Yes No CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.
