Heart & Hands Community Acupuncture - How are we doing?
We want to serve you better & learn more about who comes to use our services!
Complete this survey and include your contact information at the end to be entered into a draw for a number of Holistic Health prizes!
What is your age?
Choose the age range that best applies
What is your gender?
Please use "Other" field (sorry limitations of Google) to provide a response that best expresses your gender.
What neighbourhood do you live in? *
How do you commute to Heart & Hands? *
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What conditions do you seek treatment for?
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What are your preferred times of the day to come in for acupuncture? *
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What is your preferred day of the week? *
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How often do you receive acupuncture? *
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What promotions do you take part in? *
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I come to Heart & Hands because... *
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What are your main barriers for receiving acupuncture more often? *
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Things I dislike about Heart & Hands: *
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I wished Community Acupuncture was available... *
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What is your preferred form of payment to use? *
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What other services have you used at Heart & Hands Health Collective? *
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How did you hear about Community Acupuncture at Heart & Hands? (ie. word-of-mouth, social media, workshops, etc.) *
If you found us by word-of-mouth, provide the person's name and we will gift them with a $15 treatment voucher :)
Your answer
May we add you to the Heart & Hands Email Newsletter list? Your information will not be shared and you will be up to date on current workshops and promotions! *
PLEASE INCLUDE YOUR EMAIL ADDRESS IN THE FINAL FIELD BELOW + you will be entered to win one of the prizes listed below! You may unsubscribe from our newsletter at any time.
Thank you for completing our survey! Your contribution will help us serve you better :)
Please enter your EMAIL + PHONE NUMBER to be entered into a draw for: One of TWO Community Acupuncture passes, One of TWO Heart & Hands swag packs, ONE Herbal Medicine Consultation with Latifa Pelletier-Ahmed or ONE of TWO Naturopathic Medicine Consultation with Dr. Brewster Scott! Only entries with EMAIL + PHONE NUMBER will be entered into the prize draw.
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