HAV Skincare & Wellness Center Survey
1.
How interested are you in Mental Health Counseling for adults and children (self pay sessions, no insurance)?
Very interested
Interested
Neutral
Uninterested
Very uninterested
  • Comment:

  • 500 characters left.
2.
Please rate the following features of this proposed service based on their importance to you.
 Very Unimportant Somewhat Unimportant Neutral Somewhat Important Very Important 
Flexibility of schedule
Price
Payment plan
3.
What would be an appropriate price for this service per session, if it had all the features mentioned above?
$100
$115
$130
$150
$200
I would not pay for this service
  • Comment:

  • 500 characters left.
4.
What payment method are you likely to pay with?
Cash
Check
Credit card
FSA/HSA
Payment plan
  • Comment:

  • 500 characters left.
5.
What other features you would like to see incorporated into this service?
 

350 characters left.
6.
Please provide any additional comments you have about our proposed service.
 

350 characters left.