.
Follow-up Survey after Nutrition and Health Consultation
Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
Start
Secured
Survio
1
How would you rate the overall quality of the consultation?
Please select one option that best reflects your experience.
Excellent
Good
Average
Poor
2
On a scale of 1 to 10, how likely are you to recommend our services to others?
Please rate from 1 (Not likely) to 10 (Extremely likely).
3
What aspects of the consultation did you find most valuable?
Please provide your feedback in the space below.
4
Did the consultation meet your expectations?
Please select one option that best reflects your response.
Yes, it exceeded my expectations
Yes, it met my expectations
No, it did not meet my expectations
5
Which areas do you think we could improve upon?
Please select all that apply.
Communication
Nutritional Advice
Follow-up Support
Facility Cleanliness
Appointment Availability
6
Are you satisfied with the information provided during the consultation?
Please select one option that best reflects your satisfaction level.
Very satisfied
Satisfied
Neutral
Unsatisfied
Very unsatisfied
7
Would you be interested in attending future follow-up sessions?
Your response will assist us in planning future services.
Yes, definitely
Maybe, depending on topics covered
No, not interested
8
How did you hear about our nutrition and health consultation services?
Please select all sources that apply.
Referral from a friend/family
Online search
Social media
Other (please specify)
9
Do you have any suggestions for additional services or improvements?
We value your input for enhancing our offerings.
10
Would you like to receive updates or promotions via email?
Stay informed about future offers and events.
Yes, please keep me updated
No, I'm not interested
Submit