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1. What services do you utilize at Bel Amour?
 
Hair removal
 
Skin tightening
 
Spider vein removal
 
Age/Sun Spot Removal
 
Other
 
 
 
2. Please rate the comfort(temperature) of the treatment room:
Comfortable for me
Slightly warm but NOT uncomfortable
Very hot and uncomfortable
Slightly cool
Very cold and uncomfortable
 
 
 
3. Where did you hear about our services?
 
In our Clinic (Physicians and Surgeons)
 
Online
 
From one of our physicians
 
From a member of our staff
 
News Advertisement
 
Direct Mail
 
Other
 
 
 
 
4. The music playing in the treatment room is:
 
Comforting, volume level is perfect
 
Too loud and is not comforting
 
Not my style, I would rather pick my own music
 
What music? I don't remember hearing any
 
 
5. How do we rate on the following attributes?
Well Below Average Below Average Average Above Average Well Above Average
Fragrance of treatment room
On-time delivery of service
Professionalism
Atmosphere
Quality of service
Understanding of clients' needs
 
 
 
6. How do we rate in regards to pricing of our services when compared to other companies that offer the same services?
 
Much higher
 
Somewhat higher
 
Same
 
Somewhat lower
 
Much lower
 
Don't know
 
Other
 
 
 
 
7. How likely are you to continue using our services?
 
Very likely
 
Very unlikely
 
Neutral
 
Other
 
 
 
 
8. When would you prefer to have your laser treatments performed?
 
During normal business hours 8am-5pm
 
Late appointment time 7pm
 
Weekend appointment option- Saturdays please
 
Other
 
 
 
 
9. What do you like the most about Bel Amour?
   
 
 
 
10. What do you like least about Bel Amour?
 
Adverse outcome
 
Pain associated with procedure
 
Pricing
 
Treatment results
 
Outside of building
 
Bathrooms
 
Magazine Selection
 
Other
 
 
 
 
11. What is your age?
 
Younger than 18
 
18 - 24
 
25 - 34
 
35 - 44
 
45 - 54
 
55 - 64
 
65 or older
 
Prefer not to answer
 
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