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Reflexology Consultation Booking Experience Survey

Captures how clients experienced booking and completing their reflexology consultation — from scheduling ease to how well the intake addressed their health concerns — for clinic and spa owners refining intake flow. An AI follow-up interview reconstructs what happened during the consultation itself, not just how it was rated.

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Sample questions

A preview of what’s in the template. Every question is editable before you launch.

13 questions · ~7 min
Q01
Message

Thanks for taking a moment to share feedback on your reflexology consultation booking! This will take about 4-5 minutes and helps us make scheduling and intake smoother for future clients.

Q02
Multiple ChoiceRequired

How did you book your reflexology consultation?

  • Online booking form
  • Phone call
  • Walked in
  • Booking app
  • Through a friend or family member's account
  • Other
Q03
Opinion ScaleRequired

How easy was it to find an appointment time that worked for you?

Scale: 1 – 5
Min:Very difficultMax:Very easy
Q04
Multiple ChoiceRequired

What was the main reason you booked this consultation?

  • Foot or lower leg pain
  • Stress or anxiety relief
  • Sleep issues
  • General wellness or relaxation
  • A specific health condition my provider referred me for
  • Curiosity, first time trying reflexology
  • Other
Q05
MatrixRequired

Thinking about the consultation itself, how would you rate each of the following?

4 rows × 5 columns
  • Time taken to review your health history
  • How well the therapist listened to your concerns
  • Clarity of the treatment plan explained to you
  • Opportunity to ask questions
Columns: Poor · Fair · Good · Very good · Excellent
Q06
Opinion ScaleRequired

Overall, how satisfied were you with your consultation?

Scale: 1 – 7
Min:Very dissatisfiedMax:Very satisfied
Q07
AI Interview

Reconstruct exactly what happened during this respondent's consultation: what health concern or goal they brought in, whether the therapist's intake questions and explanation actually addressed it, and what the recommended treatment plan was. If their satisfaction rating was 5 or below, probe precisely where the consultation fell short (rushed intake, unclear plan, concern not addressed) and what would have fixed it. If it was high, probe what specifically made the intake feel thorough or trustworthy.

Q08
Opinion ScaleRequired

How likely are you to recommend this reflexology practice to a friend or colleague?

Scale: 0 – 10
Min:Not at all likelyMax:Extremely likely
Q09
Multiple Choice

Do you plan to book a follow-up session based on this consultation?

  • Yes, already booked
  • Yes, planning to
  • Not sure yet
  • No
Q10
Short Text

Is there anything about the booking or consultation process you'd change?

Q11
Multiple Choice

What is your age range?

  • Under 25
  • 25-34
  • 35-44
  • 45-54
  • 55-64
  • 65 or older
  • Prefer not to say
Q12
Multiple Choice

How did you first hear about this practice?

  • Search engine
  • Social media
  • Friend or family referral
  • Healthcare provider referral
  • Walked past / local ad
  • Other
  • Prefer not to say
Q13
Message

That's everything — thank you for sharing your experience! Your feedback goes directly into improving how we schedule and run consultations for future clients.

What’s included

  • AI follow-ups

    Adaptive probes on open-ended answers that pull out detail a static form would miss.

  • Attention checks

    Built-in safeguards against rushed answers and low-quality respondents.

  • AI-drafted copy

    Wording, ordering, and branching written by the AI — tuned to your research goal.

  • Auto report

    Themes, quotes, and a plain-English summary write themselves once responses come in.

How it compares

We reviewed the closest templates from other survey tools. Here’s what they do well — and where this template goes further.

Why this template

  • Goes beyond a booking/intake form: after respondents rate their consultation on the matrix and satisfaction questions, an AI follow-up interview reconstructs what actually happened during the session — not just how it was scored.
  • Combines the practical booking-flow questions (how they booked, how easy it was to find a time, reason for booking) with consultation-experience questions in one flow, so clinic owners see intake friction and consultation quality side by side.
  • Captures downstream business signals — likelihood to recommend, intent to book a follow-up, and open-ended change requests — alongside demographic and referral-source questions for segmentation.
  • Opens and closes with plain-language chat messages that set expectations and thank respondents, keeping the experience conversational rather than form-like.

SurveySparrow

Reflexology Consultation Booking Form Template

A ready-to-field booking form focused on capturing scheduling details for a reflexology consultation. It's built on SurveySparrow's conversational form format, which is friendlier than a static form but still a fixed question set rather than an adaptive interview. Best suited for collecting booking logistics, not for understanding what happened during the session itself.

What it does well

  • Conversational, one-question-at-a-time form format
  • Part of a broader template library with drag-and-drop customization
  • Supports standard distribution and workflow automation typical of the SurveySparrow platform

Where it falls short

  • No adaptive AI follow-up questioning — every respondent sees the same fixed question path
  • No mechanism to reconstruct consultation content or automatically score response quality
  • No published methodology for how questions are generated or scored

Jotform

Reflexology and Massage Consultation Form Template

This is a client intake/consultation form (health history, consent-style fields) rather than a booking-experience survey, so it serves a related but distinct purpose. It's fielding-ready and easy to customize via Jotform's builder, but it collects static intake data rather than post-consultation experience feedback.

What it does well

  • Practitioner-oriented intake fields (health history, treatment notes)
  • Large, easily customizable form builder with widgets and e-signature options
  • Familiar, widely-used platform for clinics already on Jotform

Where it falls short

  • Designed for pre-session intake, not for capturing booking or post-consultation satisfaction
  • No adaptive follow-up interviewing or voice AI capability
  • No automated quality scoring or auto-generated experience reports

Typeform

Reflexology Consultation Form Template

A polished, conversational-style consultation form template, consistent with Typeform's known strength in completion-friendly form design. Like the others, it's a static question set aimed at intake rather than a survey designed to reconstruct the consultation experience or probe booking friction with follow-ups.

What it does well

  • Clean, conversational UI known to improve completion rates
  • Simple to customize and embed
  • Integrates with common CRM/marketing tools

Where it falls short

  • No adaptive AI interviewing or voice AI option — fixed logic branching at most
  • No automated per-response quality scoring
  • No transparent, publishable prompt methodology for how questions are asked or interpreted

Ready to launch?

Open this template in the editor. Every part is yours to change before the first respondent sees it.

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