The Skin Clinique Survey
Required Required Question(s)
1.

How long have you used our Services?
Less than 6 months
6 months to less than 1 year
1 year to less than 3 years
3 years to less than 5 years
5 years or more
Required 2.

Which of our <<PRODUCTS/SERVICES>> do you use? Select all that apply.
Peels
Facials
Acne Treatments
Waxing
Body Treatments
Make Up application/lessons
Cosmedix Products
Visual Changes Products
Elta M.D. Suncare
Cellex C Products
Jane Iredale Products
Other Product not sold at The Skin Clinique
Purchasing Product Elsewhere?
Other  
  • Comment:

  • 500 characters left.
Required 3.

How frequently do you purchase from us?
Every week
Every 2 - 3 weeks
Every month
Every 2 - 3 months
Every 4 - 6 months
Every 6-12 months
Every 12-18 months
Other  
  • Comment:

  • 500 characters left.
Required 4.

How would you rate your level of satisfaction with us?
Highly satisfied
Somewhat satisfied
Neutral
Somewhat dissatisfied
Highly dissatisfied
Other  
  • Comment:

  • 500 characters left.
Required 5.

How do we rate on the following attributes?
 Well Below Average Below Average Average Above Average Well Above Average 
Customer service
Professionalism
Quality of SERVICES
Understanding customers' needs
Front desk staff
Price
  • Comment:

  • 500 characters left.
Required 6.

How likely are you to continue doing business with us?
Very likely
Somewhat likely
Neutral
Somewhat unlikely
Very unlikely
Other  
  • Comment:

  • 500 characters left.
7.
How likely is it that you would recommend our <<PRODUCTS/SERVICES>> to a friend or colleague?
Very likely
Somewhat likely
Neutral
Somewhat unlikely
Very unlikely
8.
Do you have any suggestions for improving our <<PRODUCTS/SERVICES>>?
 

  • 350 characters left.
9.
Which category describes your age?
Younger than 18
18 - 24
25 - 34
35 - 44
45 - 54
55 - 64
65 or older
Prefer not to answer
10.
What best describes your employment status?
Employed full-time
Employed part-time
Self-employed
Not employed, but looking for work
Not employed, not looking for work
Retired
Student
Military
Homemaker
Prefer not to answer
Other  
11.
Which of the following categories best describes the industry you work in?
Automotive
Advertising
Consulting Services
Education
Entertainment
Financial Services
Government Services
Healthcare
Human Resources
Information Technology
Marketing/Sales
Non-Profit
Pharmaceuticals
Public Relations
Technical Services
Travel
Other