Testimonial Feedback Form - LifeClinic | Private Healthcare Company in Hong Kong

Testimonial Feedback Form

What treatment did you have done? 您做過什麼治療？

What was your condition like BEFORE your treatment? 治療前您的病情如何？

What happened DURING your treatment? 您的治療期間發生了什麼事？

What difference did you notice AFTER your treatment? 治療後您注意到什麼差異？

Any other comments? 還有其他意見嗎？

Would you recommend the treatment to others? 您會向其他人推薦該治療方法嗎？

Yes 會

No 不會

Would you be happy for us to share your experience with others, for example on our website or printed material? 您是否願意我們在與他人分享您的經驗?

Yes 是

No 否

Are you happy for us to quote your name or initials? 您是否願意我們引用您的姓名或縮寫？

Name 姓名

Initials 姓名縮寫

No thanks, I prefer to remain anonymous 保持匿名

(For aesthetic treatment) Would you be happy for us to use your before/after photos? （用於美容療程）您願意我們使用您的前後照片嗎？

Yes 是

Yes, if my eyes are covered (anonymous) 是，如果我的眼睛被遮住（匿名）

No thanks 否

Name 名稱

Date 日期

If you are human, leave this field blank.