Smoothing Treatment Feedback Survey
We value your feedback! Please share your experience with your recent smoothing treatment to help us improve our services.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number (optional)
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Your Smoothing Treatment
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Which smoothing treatment did you receive?
*
Please Select
Keratin Treatment
Brazilian Blowout
Japanese Straightening
Other
How satisfied were you with the following aspects of your treatment?
*
Rows
Very Dissatisfied
Dissatisfied
Neutral
Satisfied
Very Satisfied
Booking Process
1
2
3
4
5
Cleanliness of the Facility
6
7
8
9
10
Professionalism of Staff
11
12
13
14
15
Explanation of the Procedure
16
17
18
19
20
Comfort During Treatment
21
22
23
24
25
Results After Treatment
26
27
28
29
30
How would you rate the overall results of your smoothing treatment?
*
1
2
3
4
5
Did you experience any side effects or issues after the treatment?
*
No, everything was fine
Yes, minor issues (please specify below)
Yes, significant issues (please specify below)
If you experienced any issues, please describe them here:
How likely are you to recommend our smoothing treatment to others?
*
Not Likely
1
2
3
4
5
6
7
8
9
Extremely Likely
10
1 is Not Likely, 10 is Extremely Likely
What did you like most about your experience?
What could we improve?
May we contact you for follow-up or to feature your feedback (with your permission)?
Yes, you may contact me
No, please do not contact me
Submit Feedback
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