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Feedback Form
A problem was detected in the following Form. Submitting it could result in errors. Please contact the site administrator.
Thank you for your valuable input.
I would rather stay anonymous please
Let's start with your name please:
Name of the practitioner that you visited:
A Rossouw
Active Physiotherapy
Chiro Active
Dr Andrea Rencken
Dr Candice Armfield
Dr D Nunes
Dr Donna Dawson
Dr GH Bayes
Dr Nicole Morecroft-Davie
Mindful Eating
Sr Chrystal-Renee Kruger
How long did you wait to see the practitioner?
0-5
5-10
10-15
>15
The following are ratings out of 10.
1 would be poor (the worst) and 10 would be excellent (the best)
Receptionist greeting when you arrived at Hyperlife
1
2
3
4
5
6
7
8
9
10
General appearance and feel of the building
1
2
3
4
5
6
7
8
9
10
How did you find the waiting area
1
2
3
4
5
6
7
8
9
10
General appearance and feel of the building
1
2
3
4
5
6
7
8
9
10
Friendliness and professionalism of the practitioner you were seeing
1
2
3
4
5
6
7
8
9
10
Where did you hear about Hyperlife
Billboard
Internet search
Social Media
Magazine or print Advertisement
From a friend
Driving past
Other
Would you come back to Hyperlife?
Yes
No
Please add any other comments or suggestions that you have.
Would you like someone from Management to contact you regarding your feedback?
Yes (please provide contact details below)
No
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