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Your Input Matters!

REMINDERS:

  1. PLEASE BE AS HONEST, DETAILED AND CONSTRUCTIVE AS YOU CAN: It's the only way we can learn/grow/implement things that will be useful and add value/better serve our patients. YOUR perspective is key!

  2. CONFIDENTIALITY: All forms have no names attached and are completely anonymous...HOWEVER, if for any reason you want us to follow up with you, please feel free to put your name and contact info in the "other" section.

  3. YOUR THANK-YOU AWAITS: Don’t miss the little thank-you gift that pops up when you hit submit - some folks have missed it, so keep an eye out! 🎁

Your Input Matters...A LOT!

Thinking of your overall experience with us, please rate the following areas...

Please select your choice from dropdown for the following:

How do you feel about our current hours of operation?
For those no longer under care: Thinking back, what influenced your decision to take a break?

👉Here's your chance to give us your 2¢. We would love as much detail/constructive feedback as you are comfortable giving! Thinking of your experience with us...

...and finally...

Would you refer us to your family/friends/co-workers? Please take advantage of our physical/digital referral cards to start to collect your referral credits!

*OTHER SECTION:

THANK YOU for taking the time.


...a little thank-you awaits your submission ☺


     7165 Highway #1, SUITE 210. Coldbrook, NS                902-599-4694                     coldbrookchiropractic@gmail.com

©2022 by Coldbrook Chiropractic

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