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Revitalise > Therapy/Class Customer Feedback
 
   
   
   
   
   
   
   
 
Therapy / Class Customer Feedback
Time of your visit*
   
Date you visited DD/MM/YY*
   
Which Therapy did you have ?
   
Which Therapist did you have ?
   
Which Class did you have ?
   
Which teacher did you have ?
Great Good Average Poor
Time Keeping?
   
Treatment or Class?
   
Therapist or Teacher?
   
Friendly?
   
Reception?
Tell us more / Comments ?
   
 
Would you recomend Revitalise to a freind?*
No
   
 
Great Good Average Poor
Did you find Revitalise?
   
Your Name?*
   
Your Telephone number?
   
Your e-mal address?*
   
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Revitalise, 86 Church Road, Brighton & Hove,
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