Adkore Patient Survey: Re-Exam
Thank you for taking the time to share your review of your experience at Adkore. Your feedback is appreciated and we look forward to continue treating you. Please answer the following questions to complete the survey.
Please provide your name below: *
Your answer
What phase of care are you in?
What areas of pain/condition is Adkore treating you for? *
Your answer
How is your pain after completing the first treatment plan? *
Your answer
Which treatments provided you the best results? (select all that apply) *
What are your goals for treatment at Adkore? *
Your answer
Did the chiropractor ask you about your goals & discuss a plan to reach them? *
Do you find our services to be of value to you?
What do you like the most about treating at Adkore? *
Your answer
What do you like the least about treating at Adkore? *
Your answer
How would you describe your overall experience at Adkore? *
If you plan to discontinue treatment, please explain the reason for your decision: (if this does not apply to you, please put N/A) *
Your answer
Please provide us with any additional feedback that can help us improve our processes:
Your answer
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