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Name
*
Date of Service
*
Service Received
*
--Select Service Received--
Facial
Massage
Body Treatment
Nail Care
Waxing
Service Provider
*
--Select Service Provider--
Cindy
Connie
Diane
Heather
Marcelina
Mynae
Shelia
Don't Remember
Were you greeted within a reasonable time?
--Select --
Yes
No
Did the Therapist introduce herself/himself?
--Select --
Yes
No
Did the Therapist provide you with adequate instructions for changing and escort you to the changing area and service room?
--Select --
Yes
No
Please rank your spa session
*
--Select Rank--
Outstanding
Very Good
Satisfactory
Unsatisfactory
Did the therapist escort you to the front after the service?
--Select --
Yes
No
Was your checkout smooth and timely?
--Select --
Yes
No
Please rank your overall satisfaction
*
--Select Rank--
Outstanding
Very Good
Satisfactory
Unsatisfactory
Additional comments
Would you like to be contacted regarding your experience?
--Select --
Yes
No
Email address:
Contact Telephone Number:
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