Feedback Form
Thank you for using our services. To help us maintain a high quality of service, please provide us with feedback by filling in the information below.
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Model's Name
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Date of Visit (MM/DD/YYYY)
Was this your first time you used our services?
Yes
No
Was this your first time you spent time with this model?
Yes
No
Phone Staff and Booking Experience
Please choose the best answer for each of the following.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
The phone staff was friendly
The phone staff was eager to help
The phone staff was polite
The phone was answered in a reasonable time
Model and Appointment Experience
Please choose the best answer for each of the following.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
The model matched her pictures
The model was friendly
The model was polite
The location was clean
The model was attractive
The model's service was what I was looking for
Overall, how satisfied were you with your visit?
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
How likely are you to visit with us again?
Very Likely
Likely
Neutral
Unlikely
Very Unlikely
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Do you want us to contact you regarding this appointment?
Yes
No
If yes, HOW do you want us to cocntact you regarding this appointment?
Phone
Email
Phone
Email Address
Comments or Suggestions
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Indicates Response Required