Massage Patient Survey Your Name Your Email Please answer yes or no. Were you greeted by name when you visited the office? YesNo Were you seen by the doctor during your expected time frame? YesNo Was the office staff warm and friendly? YesNo Were your treatments without discomfort? YesNo Please rate each of the following with a score of 1 to 5, with 5 being the highest. Any additional comments can be added at the end. The Office First Impression: 12345 Seating comfort: 12345 Reading Materials: 12345 Parking Facilities: 12345 Office Hours: 12345 Cleanliness: 12345 Office Staff Courteous: 12345 Promptness in Greeting: 12345 Professionalism: 12345 Answering of Questions: 12345 Billing Matters: 12345 Making you feel comfortable: 12345 Overall Rating of Staff: 12345 The Doctor Attention to your concerns: 12345 Answering of your questions: 12345 Clarity in explaining condition and treatment: 12345 Explanation of fees: 12345 General Professionalism: 12345 Overall health care education: 12345 What do you like best about our office? What do you like least about our office? Δ