BATM Appointment Review

Beth Ann's Therapeutic Massage

Home
Welcome_Home

Home Page

You've had an appointment. We have a few questions?

Your Email is optional, we will use it if we ever have time to generate a News Letter, or if we have offers, or if your comments here need a response. You name is not optional, in case a random person (not a patient), decides to fill out and submit the form.

* Indicates required field

Name *

First

Last

Appointment Date *

Email *

Below are check boxes for the questions posed. We could ask each question separately, but by bunching them we make it easier on you filling them out. The questions are in groups of 2, please pick 1 box for each Category group. We have several sets of 4 question groups.

4 Questions, 4 answers please: *

A) Directions were good A) Directions need improvement B) Parking was easy B) I had touble finding Parking C) Outer Office was Acceptable C) Outer Office needs Help D) Receptionist greeted me D) Receptionist ignored me

4 Questions, 4 Answers, Please *

A) Room temperature was ok A) Room Temperature needs improvement B) Table was Fine B) Table needs improvement C) Music was good C) Music needs improvement D) Atmosphere was good D) Atmosphere needs improvement

4 Questions: 4 Answers Please *

A) Therapist Greeted Me A) Therapist didn't Greet Me B) Therapist reviewed my paperwork, or I didn't have any B) Therapist did not review my paperwork C) Therapist asked about my problem areas C) Therapist didn't ask about problem areas D) I feel better than when I arrived D) I feel worse than when I arrived

4 Questions, 4 answers Please *

A) Exit "Goodies" were good A) Exit "Goodies" were not good or not received B) Payment was easy B) Payment was not easy C) I understand my follow-up directions C) I don't understand my follow-up directions D) I will be making another appointment D) I will not make another appointment

Choose the right answer! *

I will drink at least 32 Ozs of water after my appointment. No extra water. I'm ok with extreme pain and sorness the day after the massage.

Please expand on any answers that you can or want to: *

Submit

Home Page

Images not created by us are: Pixabay Free for Commercial Use

Home
Welcome_Home