At Eternel Clinic we aim to provide excellent customer satisfaction to each and every one of our clients; and to help us maintain high standards we need your help. We would be grateful if you would please take a few moments to complete our CONFIDENTIAL feedback questionnaire.

Name (Optional) Date of Visit Treatment Therapist Reservation YES NO a. Was your call answered within 3 rings? b. Were your questions answered to your satisfaction? c. Did our reception staff schedule your reservation with ease? Appointment YES NO a. Were you given a reminder call or text the day before your scheduled appointment? b. Were you informed about our 24 hour cancellation policy? Welcome YES NO a. Was there a member of our team on hand to greet you? b. Were our reception staff neatly groomed? c. Was the ambiance of the waiting area comfortable? d. Were you offered refreshments? Experience YES NO a. Did our therapist/Dr greet you using your name? b. Was our therapist neatly groomed? c. Did your treatment begin within 5 minutes of the appointed time? d. Was the treatment room clean and tidy? e. Did our therapist fully discuss the treatment with you prior to commencing? f. Did the therapist explain (if appropriate) the condition of your skin? g. Were you satisfied that the therapist was knowledgeable and experienced? h. Were you provided with homecare advice and recommendations by your therapist post treatment? i. Did the therapist discreetly drape you if nudity was involved? j. Were you satisfied with the service and treatment provided by our therapist? Departure YES NO a. Was your bill accurately itemised and totalled? b. Did our reception staff offer to schedule your next appointment? Comments a. How would you rate the quality of your experience and treatment? Excellent Good Average Poor   b. Based on your experience with us so far, would you continue to use our products and services? Definitely Probably yes Probably not Definitely not   c. Based on your experience, would you recommend our products and services to family and friends? Definitely Probably Probably not Definitely not   d. From your personal experience, how would you rate the advantage of dealing with Eternel Clinic rather than any other companies which offer similar services? A big advantage A slight advantage Same advantage No advantage at all   What would be the advantage / disadvantage of coming to Eternel Clinic rather than other companies which offer similar services? What would you change? What other services would you like Eternel Clinic to offer you? Additional Comments