Step 1.
This information is required.
Name:
Email Address:
Name of practitioner:
Type of service:
Date of Service:
 
Step 2.
Please answer the following questions.
On a Scale of 1 to 5, with 5 being the best, please rate the following:
Professionalism
Personable
Knowledgeable
Treatment Quality
Expectations Met
Would you recommend our services to others? Yes     No  
Did your visit feel comfortable, relaxed and smooth? Yes     No  
Did you leave feeling that you benefited from the service? Yes     No  
Comments/Suggestions
Did you shop at Wild Oats before or after your session? Yes     No  
How much did you spend?
Would you would like to receive our bi-monthly email newsletter? Yes     No  
 
Step 3.
Submit your comments.
The Wellness Center was selected as a memeber of the Channel 7 "A-List"