Optique Skin Rejuvenation : Rate Us

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Your satisfaction is our focus. We want your opinion!

*E-Mail Address:**	(If you do not want to provide this information, please enter 'anonymous@lms.com')

*1. How did hear about us?**

2. Please describe your experience ....with our front desk:

3. Were you offered a beverage?	Yes No	Comments:

4. Was your clinician friendly & ....on-time?	Yes No	Comments:

5. Did you find our staff to be ....friendly, yet professional?	Yes No	Comments:

6. Did you pre-book your next ....treatment?	Yes No	Comments:

7. Were you told about any specials ....being offered at this time?	Yes No	Comments:

8. Did Optique Skin Rejuvenation meet ....& exceed your expectations?	Yes No	Comments:

9. Would you refer a friend or family ....member to our spa?	Yes No	Comments:

10. Are you looking forward to your ......next visit?	Yes No	Comments:

11. Additional Comments?
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