Your Feedback is Important to us

We thank you in advance for giving us some of your precious time to answer our customer feedback survey.

This survey will be an important element in our day to day clinic operations because this will determine how we will evolve in the coming weeks and months. Through your help we will know what is working for our patients and what we can improve to make your experience in Skin Clean Dermatology Clinic more enjoyable and relaxing.

Age

Gender

Date of Last Visit

What day would you most likely visit Skin Clean Dermatology Clinic? What day would you most likely visit Skin Clean Dermatology Clinic? Monday Tuesday Wednesday Thursday Friday Saturday Sunday

What time would you most likely visit Skin Clean Dermatology Clinic? What time would you most likely visit Skin Clean Dermatology Clinic? 8:00AM - 10:00AM 10:00AM - 12:00PM 12:00PM - 2:00PM 2:00PM - 4:00PM 4:00PM - 6:00PM 6:00PM - 8:00PM 8:00PM - 10:00PM Not Sure (when I am free I will just go when Skin Clean is open)

Did you avail of both doctor's and facial services?

Which service did you avail? Which service did you avail? Doctor's services Facial services

Were you attended by the doctor in a timely manner? Were you attended by the doctor in a timely manner? Strongly Disagree Disagree Neutral Agree Strongly Agree

Did the doctor explain the diagnosis, cause and treatment options for your skin concern? Did the doctor explain the diagnosis, cause and treatment options for your skin concern? Strongly Disagree Disagree Neutral Agree Strongly Agree

Was the treatment area/ consultation area clean and orderly? Was the treatment area/ consultation area clean and orderly? Strongly Disagree Disagree Neutral Agree Strongly Agree

Are the Doctor's Fees/Services priced right? Are the Doctor's Fees/Services priced right? low-priced right pricing high-priced

Do you know the name of the Facialist that assisted you? Do you know the name of the Facialist that assisted you? yes no

Who was the facialist that assisted you?

What Facial Service did you avail?

Were you attended by the facialist in a timely manner? Were you attended by the facialist in a timely manner? Strongly Disagree Disagree Neutral Agree Strongly Agree

Was the facialist courteous in dealing and speaking with you? Was the facialist courteous in dealing and speaking with you? Strongly Disagree Disagree Neutral Agree Strongly Agree

Was the treatment area clean and orderly? Was the treatment area clean and orderly? Strongly Disagree Disagree Neutral Agree Strongly Agree

Was the facialist knowledgable and able to answer basic questions about Skin Clean services and products? Was the facialist knowledgable and able to answer basic questions about Skin Clean services and products? Strongly Disagree Disagree Neutral Agree Strongly Agree

Are the facial services priced right? Are the facial services priced right? low-priced right pricing high-priced

Would you recommend our facialist’s services to others? Would you recommend our facialist’s services to others? yes maybe no

Did you avail of any Skin Clean Products? Did you avail of any Skin Clean Products? yes no

Are the Skin Clean product effective? Are the Skin Clean product effective? very effective effective not effective

Are the Skin Clean product priced right? Are the Skin Clean product priced right? low-priced right pricing high-priced

Would you recommend our Skin Clean Product to others? Would you recommend our Skin Clean Product to others? yes maybe no

What did we do really well?

What can we do to be even better?

If you would like to share any additional comments or experiences about our services or product(s), please enter them below.

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Your Feedback is Important to us

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