| Name. Last Name |
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| Cell Phone Number |
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| E-mail Address |
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| At which center were you? |
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| 1. Reception |
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| Professionalism, efficacy and timeliness of the Reception |
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| Did the reception staff have a friendly and genuine approach? |
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| Did the Reception services meet your expectations? |
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| 2. Juice Bar |
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| Professionalism, efficacy and timeliness of the Juice Bar |
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| Did the Juice Bar staff have a friendly and genuine approach? |
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| Did the Juice Bar services meet your expectations? |
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| 3. Spa Services |
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| Massage |
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| Turkish bath (Hamam) |
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| Yoga |
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| Common areas of the Spa |
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| 4. Well-aging Services |
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| Which services did you take? |
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| Professionalism, efficacy and timeliness of the Well aging services? |
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| Did the Well aging services and benefits meet your expectations? |
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| 5. Detox Program |
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| Attitude and professionalism of the program coordinator? |
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| Did the services pertaining to the Detox program and its benefits meet your expectations? |
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| How did you benefit from the program? |
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Would you come back to The LifeCo?
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| Would you recommend us to friends and family? |
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| If you answered no tho the above question, could you please share your thoughts with us? |
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| How did you hear of us? |
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| Other thoughts and/or suggestions: |
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