Clinic Client Survey

Rate our students! Your feedback matters!

* Indicates required field

Name *

First

Last

What service(s) did you have performed today? *

On a scale of 1-5 how many stars would you rate your student? 1 being unsatisfactory and 5 being the BEST! *

Did the student recommend home-care products to you? *

Who was your Student Provider? *

How was your experience today? Please list any pros or cons for this student. *

Any special comment for the Instructor on site? *

Submit