Help Us To Help You!

how-we-help-surveyYour feedback is important to us.  Please take the time to let us know about your visit here at Back To Health Chiropractic & Wellness.

Gender:

Your age group:

Number of office visits you've had in the last 6 months:

What type of services do you expect to find in a chiropractor’s office?

Would it be more important to have manual hands on treatment, or would you prefer being treated by a machine?
Hands onlyMachine onlyCombination

Would you like massage therapy in conjunction with your chiropractic adjustment?
YesNo

What do you value most from seeking treatment at chiropractor’s office?

What is the most appealing about receiving treatment from a chiropractor?

What is the most appealing about seeking advice from a nutritionist?

Ease of scheduling appointments:
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Office Environment:
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Staff friendliness and courteousness:
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Waiting times:
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Confidence in referring friends and family to Back To Health Chiropractic & Wellness:
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Thank You! Your feedback will help us in our continuing efforts to improve and provide you with the highest level of care.