Customer Survey

As part of our continued effort to improve your experience with our services, we hope you will take a moment to share your opinions about Cascade Acupuncture Center, LLC. On behalf of the entire staff, thank you for your time!
(This will take approximately 2 minutes.)

(Download and print the .doc file, for mailing or faxing)

Acupuncturist Performance

(leave blank if N/A)

Carola Stepper, LAc

Professional Conduct:

Fair

Good

Excellent
Understood your health needs:

Fair

Good

Excellent
Informative about treatments:

Fair

Good

Excellent
Informative about products:

Fair

Good

Excellent

Rebecca Herrin, LAc

Professional Conduct:

Fair

Good

Excellent
Understood your health needs:

Fair

Good

Excellent
Informative about treatments:

Fair

Good

Excellent
Informative about products:

Fair

Good

Excellent

Nikol Clark, LAc

Professional Conduct:

Fair

Good

Excellent
Understood your health needs:

Fair

Good

Excellent
Informative about treatments:

Fair

Good

Excellent
Informative about products:

Fair

Good

Excellent

Staff Effectiveness:

Lisa Shirk

Polite:

Fair

Good

Excellent
Helpful:

Fair

Good

Excellent
Efficient:

Fair

Good

Excellent

Jacki Foster

Polite:

Fair

Good

Excellent
Helpful:

Fair

Good

Excellent
Efficient:

Fair

Good

Excellent

Would you refer others to our office?

Yes

No
Why?

Do treatment rooms meet your needs?

Yes

No

Was the reception area comfortable?

Yes

No

Which office were you seen in?

Hood River

The Dalles

Both

Is the available parking adequate?

Yes

No

Were the restrooms clean/well supplied?

Yes

No

Was your financial obligation explained?

Yes

No

How can we better serve you, in any area?

What was your best experience with Cascade Acupuncture Center?