Client Satisfaction Questionnaire

Your satisfaction with the care you received is our highest priority. Please take a few minutes to complete and return this survey so we may improve our services. Be honest, we can take it and your feedback will be used to better our services for future clients.

You may remain anonymous if you wish.
You may remain anonymous if you wish.
Select the name of the Therapist who provided your treatment. If "Other" please add to comments at the end.
Select the location where the treatment was provided. If "Other" please add to comments at the end.
Select the treatment you received from the Therapist. If "Other" please add to comments at the end.
Please add any other comments you may have about your treatment.
If there's anything that has not been covered that you would like to comment on please do so here.