Post Assessment Feedback

Post Assessment Feedback

Feedback from Clients

Date
MM slash DD slash YYYY
Name*
First Last
Email*
Who was the assessment for?*
- Child
- Adult
- University/college student
What did you think about the assessment?
What did you learn?
Please rate your satisfaction 1-5 (5 being the best rating)*
Please enter a number from 1 to 5.
May we use your feedback in future for educational/promotional purposes?
- Yes
- No
Signature*

Please feel free to contact us anytime if you have any questions.

Clinic location:

148 Finch Ave. West
Toronto (North York), ON, Canada
Tel: 416 222 0004
Toll free: 1 866 912 0004
Fax: 416 2222 0020
Email: info@ACEclinics.com

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