Optional Feedback Survey

I’m dedicated to continually enhancing the care and service I provide, and your feedback is essential in helping me do that. Would you please take a moment to share your experience by completing a brief survey? Your honest thoughts—both positive and constructive—are truly appreciated, and you can participate at any point during or after your treatment by clicking the button below.

This survey is completely voluntary, and you’re free to skip any questions you prefer not to answer. Rest assured, I’m the only one who will see the results, and your name will not be requested. I will never share your responses or use them as testimonials, and your answers will not become part of your treatment records. By submitting the survey, you’re simply confirming your consent to participate.

Thank you so much for taking the time to help me improve. I genuinely value your perspective and look forward to using your insights to better serve you. If you have any questions or concerns, please feel free to call me at 832-437-6260.

Warm regards,

Lourdes