Questionnaire

This questionnaire will be treated in the strictest of confidence.

About You
Your Name	please choose... Miss Mrs Ms Mr Dr
Date of your visit
Your email address
The reason for your visit	please choose... Relaxation Maintenance Consultation Other
Have you been to Cedars before?	please choose... Yes - Lots Once or twice before First Visit

About Your Visit
Therapists name if known
Please rate your first impression of Cedars	please choose... Excellent Good Average Poor
How friendly was your welcome?	please choose... Very Friendly Ok Not that friendly Unhelpful
Were you kept waiting for your appointment?	please choose... No Less than 10 minutes More than 10 minutes More than 20 minutes
If you were kept waiting, were you given an explanation for the wait?	please choose... No A good explanation was given The Therapists appeared to be just chatting Other
Please rate the friendliness & attitude of your therapist(s)	please choose... Very friendly Ok Not very friendly Unhelpful
Please rate the tidiness & appearance of the treatment room(s) you were in	please choose... Beautiful Room Ok A bit untidy Unclean
Please rate your treatment experience	please choose... Excellent Good Average Poor
Did your therapist answer any questions that you had & did they offer any skincare or homecare advice?	please choose... Yes they were very helpful I felt pressured to buy products Not very Helpful The Therapist was unable to answer my questions
Overall, how would you rate this Cedars experience?	please choose... Excellent Good Average Poor

Your Input
Was there anything else we could have done to make your visit more enjoyable?
Any other questions or comments?
How did you find out about Cedars ?	please choose... Regular Client Friend GL1 Yellow Pages Magazine Newspaper Search Engine Other
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