The Medical Spa at Nova - Spa Survey

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The Medical Spa at Nova - Spa Survey - (703) 554-1130

www.novamedgroup.com

www.novaurgentcare.com

Take Our Survey

Date of Visit:
a. Is this your first visit to our spa?	Yes	No
b. Did our facility meet your expectations?	Yes	No
c. Is the spa clean and comfortable?	Yes	No
d. How did you hear about our spa?	Advertisment	Doctor	Internet	Friend	Other
What concern or purpose were you addressing? What was the result?

a. Was the staff courteous and professional?	Yes	No
b. Was the staff efficient?	Yes	No
c. Was the staff attentive to your needs?	Yes	No
d. Was the appointment-making process efficient and helpful?	Yes	No
e. Is the greeting and check-in process pleasant and efficient?	Yes	No
f. Which spa staff member did you see today?
g. Would you recommend this provider to a friend?	Yes	No

a. Which service did you receive?
b. Would you recommend this service to your friends?	Yes	No
c. How satisfied were you with the service?	Very Satisfied	Satisfied	Average	Unsatisfied	Very Unsatisfied
d. What did you like most?

e. What improvements would you recommend?

Client Questionnaire

Getting Acquainted

Staff Performance

Service

Additional Comments (To receive 1,000 rewards points please include your name):