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Patient Survey/Testimonial
We love hearing from our patients. Please share your experience with us!
We appreciate you taking time out of your day to share your thoughts.
This should take about 5 minutes to complete.
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Email
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Record my email address with my response
How did you learn about Infuse Aesthetics and Wellness?
Facebook
Instagram
Referral by friend or family
Advertisement (brochure, sign, business card, etc.)
Other:
What was your initial interest and/or problem that brought you in to see us?
Your answer
What made you choose Infuse Aesthetics and Wellness for your treatment?
Your answer
How would you rate the professionalism of our staff at Infuse?
Not At All
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5
Very Professional
Clear selection
How would you rate the knowledge of our staff about the services that we offer at Infuse?
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2
3
4
5
Very Knowledgable
Clear selection
What results and/or improvements in yourself have you noticed since undergoing treatment at Infuse?
Your answer
How has your overall confidence and well-being improved since your treatment?
Your answer
Can you share a memorable moment or experience that stands out from your visits with us?
Your answer
What would you say to someone who is considering similar treatment(s) at our office?
Your answer
Is there anything else you would like to share about your experience that could inspire others to choose Infuse for the treatment of their choice?
Your answer
How likely are you to recommend Infuse Aesthetics and Wellness to others?
Not at all
1
2
3
4
5
Very likely
Clear selection
Do you give Infuse Aesthetics and Wellness permission to share your answers and/or testimonial with others on our website and social media platforms using only your first name (ie. Facebook, Instagram, Website, etc.)
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No
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