JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
NatCan Feedback Form
Kindly provide us with feedback so we can serve you better! Feedback is completely anonymous.
In health,
The NatCan Team
Sign in to Google
to save your progress.
Learn more
~The highest compliment our clients can give us is to recommend us to a friend. We appreciate your referrals!~
What service did you receive?
Choose
Naturopathic Medicine
Chiropractic Medicine
Physiotherapy
Registered Massage Therapy
Reiki and Energy Healing
Other
On a scale of 1-10 how satisfied were you with your service?
Very Poor
1
2
3
4
5
6
7
8
9
10
Very Good
Clear selection
How can we improve that service for next time?
Your answer
Would you refer someone to NatCan?
Yes
No
Maybe
Clear selection
Why or why not?
Your answer
What would you like to see at NatCan?
Your answer
Thank you for your trust!
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of NatCan Integrative Medical & Wellness Centre.
Report Abuse
Forms