Optional Feedback Survey


I constantly strive to provide my clients with the best possible care and service. Would you please help me to improve my work by answering a very brief survey about the services you received from me? I am interested in your honest opinions (whether they are positive or negative), and welcome your comments and suggestions.  You can complete this survey at any time during or after your treatment by clicking on the button below.

The survey is completely voluntary.  You can choose to refuse to answer any or all questions. I will be the only one to view the results and and you will not be asked to give your name on the survey form. I will never share your responses/comments or use them as testimonials.  Your responses will not be part of your treatment records/chart. Completing the questionnaire will be regarded as giving your informed consent to participate in the survey.

Thank you so much for taking the time to provide me with your feedback. I truly value and appreciate your thoughts and opinions about my work. If you have any questions, please feel free to call me at 832-437-6260.

Warm Regards,

Lourdes

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