CLIENT EXPERIENCE Our mission is to maintain a dedicated, caring, committed and exceptional Healing experience. We strive toward this excellence through continuing education, technical advances and compassionate care for all of our clients. You can help us reach and maintain this level of service by sharing your healing needs and expectations. Thank you for your time and effort. (Please Note: Your privacy is 100% assured.) How Did You Choose us? A friend or relative recommended the healing I drove by and saw your sign I saw you on social media (Please specify) : _____________ Found you through the Search Engines (Please specify) ____________ I saw your paper ad (Please specify) : _____________ Other: Choose ☐ ☐ ☐ ☐ ☐ ☐ What would you like to receive healing on, next? A nagging health issue I keep getting frequently My financial well-being Resolve relationship issues among family/colleagues/friends Self-image (self confidence, self esteem, self worth, etc) Design a life I desire Have a career I desire ☐ ☐ ☐ ☐ ☐ ☐ Your Impression of your experience: I was listened to what I said I was given clear advice All my questions were answered I was made to feel valued The practitioner seemed proficient and knowledgeable I was given the information I needed ☐ ☐ ☐ ☐ ☐ ☐ Your Impression of our Healing Center: Felt Peaceful & Comfortable Has a Positive Vibe Information is displayed appropriately Friendly & Courteous Staff Neat & Clean Countertops free from clutter Retail displays are well organized Child-friendly ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ connect@rahathealings.com www.rahathealings.com 807 437 8602 Your Impression of our Receptionist: Stood and greeted me Aware of purpose of visit Seemed warm and cheerful Gave me undivided attention Seemed hospitable Answered all my questions Explained what we do clearly ☐ ☐ ☐ ☐ ☐ ☐ ☐ Your Impression of our website: I visited the website I found the website to be helpful & resourceful I registered to receive free newsletters Suggestions: __________________________________________________ ☐ ☐ ☐ Will you recommend us to others? Why or why not? ______________________________________________________________ Please Refer us to 2 people and avail discount* on your next visit Name Email 1. __________________________ 2. ___________________________ 3. ___________________________ 4. __________________________ 5. ___________________________ __________________________ Phone What suggestions do you have for improving our services? ________________________________________________________________________ Name: Phone: Email: Date: *Discount can be availed after your referred persons avail our services. connect@rahathealings.com www.rahathealings.com 807 437 8602
