Feedback Questionaire Form

Please be as honest as you feel. Answer the statements by selecting one of the check boxes indicating how you feel about them and add any further comments you may have.

1. During my visit(s) to Peacehaven Chiropractic I found the level of service to be of a high standard.

2. Following an initial consultation I felt my condition was explained to me and I understood how chiropractic could help.

3. I understand the benefits of chiropractic care and recommend Peacehaven Chiropractic to friends and family.

4. I have been made aware of the other services at Peacehaven Chiropractic including massage, medical hebalism, reflexology, yoga, tai chi, free spinal health classes and various free talk held by local health specialist.

5. I understand that the free spinal health class is designed to help me maintain a well functioning body and I was recommended to attend the class by my chiropractor.

Thank you for your time. If you have any further comments please complete the box below. Our aim is to provide and educate the community on chiropractic care, therefore we welcome everyone to our open spinal health class which is run fortnightly. Please call to book your seat

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