Home
About
Services
Botox Injections
GP Services
Health Screening
Facial Aesthetic Services
Excessive Sweating Treatment
Pricing
Testimonials
Customer review form
Contact
Customer Review Form
Thank you for taking the time to let us have your feedback which is always very much appreciated.
Title
*
Mr
Mrs
Ms
Miss
Dr
First Name
*
Surname
*
Your Email
*
We will not be share this with any third party
Phone
*
Which town do you live near?
How would you rate your experience at the Cutting Hill Clinic (out of 5 stars)?
*
✮✮✮✮✮
✮✮✮✮
✮✮✮
✮✮
✮
What treatment did you receive?
*
GP Appointment
Childhood Immunisation
Travel Vaccinations
Health Screening
Facial Aesthetic Services
Excessive Sweating
I'd Rather not say
Other...
Please tell us what treatment you recieved
*
Comments
*
Would you like us to provide you with more information about any of our treatments?
GP Appointment
Childhood Immunisation
Travel Vaccinations
Health Screening
Facial Aesthetic Services
Excessive Sweating
No, Thank you
Is there any further information about our treatments that we can help you with?
Are you happy for us to add your review to our website?
Yes - using my name
Yes - using just my initials
Yes – please anonymise
No - thank you
Subscribe to our newsletter?
Yes
No
Where did you hear about us?
*
Website/Search Engine
Family or Friend
Print Advertisement
Flyer
Email Newsletter
Facebook
Twitter
Magazine Article
Other
Home
About
Services
Botox Injections
GP Services
Health Screening
Facial Aesthetic Services
Excessive Sweating Treatment
Pricing
Testimonials
Customer review form
Contact
We use cookies to ensure that we give you the best experience on our website. If you continue to use this site we will assume that you are happy with it.
Ok