Clear Chiropractic Survey
We rely on your feedback to improve your experience. Let us know how we are doing in the following areas:
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At which location(s) do you receive care? *
Your email address (optional)
How likely are you to refer a friend, family member or colleague to Clear? *
Not likely
Highly Likely
Do you look forward to your appointments? *
How do you feel in our office? *
Uncomfortable, Apprehensive, Negative
Relaxed, Joyful, Appreciated, Understood
How thorough are your visits at Clear? *
Vague & Confusing
Exceptional Detail & Accuracy
How do you feel after your appointments? *
Not Well.
I feel my BEST!
Are there any specific details you would like to add?
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