Please answer the questions below.

Name(optional)

Location

Your most recent phone call(s)

Name of office staff member (optional):

Did you receive a call back?
Yes
No
Comments:


Was the office staff polite?
Yes
No
Comments:

Were you supplied the necessary information before coming in?
Yes
No
Comments:

Your recent visits

Were you greeted?
Yes
No
Comments:

Knowledge of the office staff   (1 being the lowest and 10 being the highest)
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10
Comments:

How would you rate our office staff overall?
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10
Comments:

In what ways can we improve/what changes would you like to see?
Comments:

Your Instructor(s)

Name of Instructor(s):

Does your instructor communicate with you every lesson?
Yes
Sometimes
No

Do you feel that your instructor is the best match?
Yes
Thinking about it
No


How would you rate the progress so far? (list any areas you would like to see improvement)
Comments:


How would you rate the personality of your instructor?
Comments:


What do you like most about your lessons?
Comments:


What do you not like about your lessons or instructor?
Comments:


Would you recommend your instructor to your friends?
Yes
Thinking about it
No


Would you recommend our school to your friends?
Yes
Thinking about it
No


Are you thinking about purchasing more lessons?
Yes
Thinking about it
No

If not or not sure, is there anything we can do to change your mind?

Comments:


How would you rate the facility?
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10
Comments:


What changes to our facility would you like to see?
Comments:


How would you rate your overall experience?
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10
Comments:


Additional comments


Would you appreciate a call back?
Yes
No

Phone Number  


Security Code: