Client Feedback Form Client Feedback Form Name First Last Email Post Treatment FeedbackPlease rate each question between 1 and 5Was the treatment room clean and comfortable? (1) Very Satisfied (2) Satisfied (3) Neutral (4) Unsatisfied (5) Very Unsatisfied Did the therapist communicate clearly regarding what you should expect pre/during and post treatment? (1) Very Satisfied (2) Satisfied (3) Neutral (4) Unsatisfied (5) Very Unsatisfied Did the therapist behave in a professional manner? (1) Very Satisfied (2) Satisfied (3) Neutral (4) Unsatisfied (5) Very Unsatisfied Was the booking procedure clear and straightforward? (1) Very Satisfied (2) Satisfied (3) Neutral (4) Unsatisfied (5) Very Unsatisfied Was modesty preserved at all times during the treatment? (1) Very Satisfied (2) Satisfied (3) Neutral (4) Unsatisfied (5) Very Unsatisfied Was the aftercare useful and relevant? (1) Very Satisfied (2) Satisfied (3) Neutral (4) Unsatisfied (5) Very Unsatisfied How likely would you be to recommend this service? (1) Very Satisfied (2) Satisfied (3) Neutral (4) Unsatisfied (5) Very Unsatisfied Any other comments? Δ
