Massage Survey

Name:

Street Address:

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Dear valued patient:

Our team here at Craft Chiropractic is consistently striving to improve our services and business. Therefore, we need to hear from those whose opinions and suggestions mean the most....yours!

We would greatly appreciate it if you would take a few minutes to complete the following survey to share your views about our business. We encourage ALL opinions and views both positive and constructive. If you feel uncomfortable answering any questions, you may skip the question.

We would like to thank you very much for taking the time to complete our survey. We are always looking for ways to improve our services, so we can serve you well.

OFFICE AND STAFF

	Which office did you visit?
	Where you able to schedule appointments at the times most convenient for you?
	Did you find our massage rooms to be neat and clean?
	How was the cleanliness and professionalism of our office?

MASSAGE THERPISTS

	Did the therapist greet you by name in the front lobby?
	Can we have your massage therapists name?
	Did the therapist give you adequate instructions to prepare you for the massage?
	Where you comfortable with the amount of conversation during your massage?
	Was desired amount of pressure applied during your massage?
	Did your therapist communicate clearly so you felt comfortable before, during and after the session?
	Did the massage therapist use techniques that meet your needs?
	Did the therapist escort you to the front desk at the conclusion of your visit?

OVERALL

	Will you recomend the massage therapist to others?
	Will you be returning?
	Overall, was your massage at Craft Chiropractic a positive one?
	Please feel free to give any positive or constructive comments to help us improve