Thank you for using our clinic.
To help us provide better services, we would appreciate your cooperation in completing this survey.
※This survey is anonymous, so you do not need to provide your name.
Please fill in the following items and press the "Confirm Input" button.

① How satisfied were you with the clinic environment?

Please select 1 2 3 4 5 6 7 8 9 10

② Please provide the reason for your answer to question ①.

③How was the service provided by the reception counselor?

Please select 1 2 3 4 5 6 7 8 9 10

④Please provide the reason for your answer to question ③.

⑤How was the service provided by the practitioner (nurse)?

Please select 1 2 3 4 5 6 7 8 9 10

⑥Please provide the reason for your answer to question ⑤.

⑦How satisfied were you with the treatment?

Please select 1 2 3 4 5 6 7 8 9 10

⑧Please provide the reason for your answer to question ⑦.

⑨ Would you recommend our clinic to your family and friends?

Please select 1 2 3 4 5 6 7 8 9 10