Survey Form - Luxe Lips

SURVEY & TESTIMONIAL

Feedback Form

Your opinion is important to us. We grow and learn from you.
So help us improve our service for your beauty journey.

Name

Treatment

Occupation

Age

Attending Nurse

Date of Appointment

Considering your complete experience with our clinic, how likely would you be to recommend us to a friend or colleague?

Excellent Good Bad Terrible!

Please state your level of satisfaction with the process of booking an appointment with your health professional

Excellent Good Bad Terrible!

Please rate your cosmetic injector in conducting the actual procedure

Excellent Good Bad Terrible!

Please rate your cosmetic injector in creating a comfortable and pleasant experience

Excellent Good Bad Terrible!

How long did you have to wait after being completely numbed to see your cosmetic injector?

Since how many months/years have you been visiting our clinic?

In the past year, how frequently did you visit our clinic?

How satisfied were you with the follow during your treatment at the medical facility ? In terms of...

Professionalism of our staff

Excellent Good Bad Terrible!

Hygiene in the clinic

Excellent Good Bad Terrible!

Care provided by our cosmetic injectors

Excellent Good Bad Terrible!

Time that our cosmetic injectors have spent with you.

Excellent Good Bad Terrible!

Attentiveness towards concerns

Excellent Good Bad Terrible!

Treatment plan formulated by the cosmetic injector

Excellent Good Bad Terrible!

Co-ordination between staff

Excellent Good Bad Terrible!

Scripting process and friendliness of the doctor

Excellent Good Bad Terrible!

Do you feel that our work hours are well suited to treat you?

Excellent Good Bad Terrible!

How easy was it to navigate your way to our clinic?

Excellent Good Bad Terrible!

How would you rate us on the following parameters:

Our concern for honesty and transparency

Excellent Good Bad Terrible!

Quality of service received

Excellent Good Bad Terrible!

Information provided towards your procedure

Excellent Good Bad Terrible!

Do you know all about the services we offer?

I was told about all of them without asking I was told after I asked for them I was not told about them

How easy was it to get a follow-up appointment?

Excellent Good Bad Terrible!

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