Name:

Date of appointment:

1. Were you greeted in a friendly & courteous manner? 
Yes No

If no, please tell me why:

2. If the receptionist was on the telephone as you were checking in/out were you acknowledged (by eye contact or verbally)
Yes No

3. Did the receptionist take another telephone call (other than to answer and put the client on hold) when she was dealing with you?
Yes No

4. Was your appointment on time?
Yes No

5. If not were you told that the appointment was running late?
Yes No

6. Was the esthetician performing your services friendly & helpful?
Yes No

7. Did you have any questions that you felt were not completely addressed?
Yes No

8. Did you enjoy your experience?
Yes No

If not why not?

9. What other concerns or observations would you like to share?