Nouvelage Survey
personal information
Name *
Phone number * Your answer *
Email address *
Birthday *
Feedback
Place & General atmosphere *
| Poor | Fair | Good | Excellent | |
|---|---|---|---|---|
| place & general atmosphere | ||||
| reception & calls for follow up | ||||
| ability to reach us on phone to book on app. | ||||
| doctors | ||||
| equipment & materials | ||||
| cleanliness | ||||
| prices | ||||
| Your recommendations |
If other, please specify: