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Home
Plans & Pricing
Our Services
Computer Adjustment
Contact Us
FAQ's
Helpful Links
Video and Podcasts
Survey
Office Quality Survey:
What is the primary reason you prefer to be seen?
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Pain/Symptom relief
Improved Function
Improved overall health
Preventative measures
Stress relief
Condition control
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Rate the Office
*
Above average
Average
Below average
Unacceptable
What can we do to improve?
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Rate your provider
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Very Satisfied - I would refer anyone
Satisfied - I would refer, but have some hesitation
Neutral - I would refer on rare conditions
Unsatisfied - I would recieve care, but not refer
Very Unsatisfied - I don't plan on returning
If not satisfied, please give reason below:
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Availability - I can be seen -
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Any of the times I want
Most of the times I want
Some of the times I want
Occasionally when I want
I always have to arrange my time to be seen
What times work better for you?
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Affordability - Fees are:
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Very reasonable
Reasonable
Acceptable
Tolerable
Expensive
Please list the services you recieve
*
Please provide any additional comments you feel would help us improve
*
Submit
Finding Us Survey:
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How did you hear about this site?
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Internet Search
Advertisement
Friend
Other
If Other please specify:
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What is your age?
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Less than 13
13-18
19-25
26-35
36-50
Over 50
Prefer not to say
What is your household income?
*
Less than $10,000
$10,001 - $25,000
$25,001 - $40,000
$40,001 - $70,000
$70,001 - $100,000
Greater than $100,000
Prefer not to say
Submit