survey

Your email address

How long have you known about the Natural Health Clinic?

Which of the following therapies have you used?

Acupuncture

Aromatherapy

Chinese herbal medicine

Chinese massage and acupressure

Cranial osteopathy

Facial rejuvenation acupuncture

Western Herbal Medicine

Nutrition

Homeopathy

Laser Therapy

Massage

Osteopathy

Shiatsu

Vega allergy testing

Reflexology

Reiki

How would you rate the following? (please choose from drop-down menu)

Ease of booking appointments

Information about the various services we offer

Our reception staff

The waiting area

Your actual experience with a therapist

Do you have any suggestions for how we could improve our clinic?

How did you first hear about us?

Tel: 0117 974 1199 • 39 Cotham Hill, Bristol, BS6 6JY

2008 PATIENT SURVEY

To enter our prize draw, where you have the chance to win a free therapy session with whoever you choose at the Natural Health Clinic, simply fill in the following and press ‘submit’. The three winners will be notified by the end of March 2008. It could be you!

Many thanks for taking the time to fill in our survey. We can assure you that any information supplied is done so in strictest confidence, and will not be used for any other purpose other than trying to improve our service, and will not be passed on to any other parties whatsoever.