Name::

E-mail address::

Date of your visit::

Reason/s for your visit::

Make an enquiry Book a treatment Have a treatment Purchase a product Purchase a gift voucher 

If you booked over the telephone did you find the Receptionist (please tick all that apply):

Helpful Courteous Efficient Friendly Professional None of the above 

Is this your first visit to City Retreat?:

Yes No 

When you entered the salon was your initial greeting: (please tick all that apply):

Friendly Professional Formal Unprofessional Unfriendly 

Were you offered a drink on arrival?::

Yes No 

Was your appointment::

On time 10 minutes late 20 minutes late More than 20 minutes late 

Was your therapist: (please tick all that apply):

Well Presented Professional Friendly Polite Confident None of the above 

Was your treatment area::

Clean, tidy and well presented Not very well presented Untidy, in need of cleaning 

Was the ambience of the treatment room::

Warm, inviting and comforting Cool Cold Uninviting 

How would you rate your treatment?::

Excellent Very good Good Average Poor 

Did the therapist provide adequate advice on maintaining the benefits of the treatment at home?::

Yes, clearly Yes but I didn't understand No 

What was the name of your therapist?::

On a score of 1-5, 1 being poor and 5 being excellent, how would you rate your::

Welcome:

1 2 3 4 5 

Therapist:

1 2 3 4 5 

Treatment:

1 2 3 4 5 

Overall experience:

1 2 3 4 5 

Please add any other comments you may feel appropriate to our evaluation::