Comments and Suggestions Please help us to make the Bliss experience even more enjoyable with your feedback and comments. Thank you. We appreciate your input. Name Email Date of your service Was this your first visit to Bliss? Yes No What Spa Service(s) did you receive? Facial Waxing Massage Hair Styling Spa Package Couples Service Alternative Therapy Hands and/or Feet Treatment Who was your service provider Please rate the following. How promptly and professionally were you greeted? 1 – Poor 2 – Below average 3 – Average 4 – Above average 5 – Excellent How prompt was your service provider? 1 – Poor 2 – Below average 3 – Average 4 – Above average 5 – Excellent How friendly and professional was your service provider? 1 – Poor 2 – Below average 3 – Average 4 – Above average 5 – Excellent How effectively did your service provider communicate with you regarding your treatment and/or spa package? 1 – Poor 2 – Below average 3 – Average 4 – Above average 5 – Excellent How effectively did your service provider communicate any/all products used during your service(s)? 1 – Poor 2 – Below average 3 – Average 4 – Above average 5 – Excellent How effectively did your service provider communicate other services within the spa? 1 – Poor 2 – Below average 3 – Average 4 – Above average 5 – Excellent How effectively did your service provider integrate the preferences that you identified on your intake form or during your treatment(s)? 1 – Poor 2 – Below average 3 – Average 4 – Above average 5 – Excellent Rate your overall experience while at Bliss Body Spa? 1 – Poor 2 – Below average 3 – Average 4 – Above average 5 – Excellent What part of your spa experience did you find most enjoyable? What part of your spa experience did you find least enjoyable? In what areas can we improve? (please check all that apply) Time Quality of service Ambiance Cleanliness Attire Professionalism Please provide any additional comments that you may have.

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