Survey (New Patient/Client)

Thank You for Visiting
My Metro Medicine!

Please take a short moment to answer a few questions about your visit to our clinic. Your feedback is extremely important to us!

Select the service(s) you received at our clinic: *

Acupuncture Tai Chi Class Private Lesson (Tai Chi/Martial Arts/Other) Posture Analysis

* Indicates required field

Were you satisfied with the service or instruction you received at My Metro Medicine? *

Yes No

Please tell us what you were most satisfied/unsatisfied with: *

How did you find out about My Metro Medicine? *

Google Search Google Ad Yelp Facebook Instagram Friend/Colleague Referral Other

If referral or other, please tell us so that we may thank them if possible. *

How likely are you to recommend our clinic to someone? *

Likely Not Likely

Have you listened to our podcast yet? (The Justin Flinner Podcast) *

Yes, I have! No, not yet!

Are you following us on social media? (Facebook, Instagram, Twitter, etc) *

Yes I am! No, but I will! :-)

If you were to rate us online (Yelp, Facebook, etc), what would you most likely write about us? (Optional) *

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Mon-Fri 5:30-6:30pm (Tai Chi & Qi Gong Lessons)
Sat 1:00-6:00pm (Acupuncture, Tai Chi & Qi Gong Lessons)

ACUPUNCTURE CLINIC LOCATION
1980 Gallows Road
Vienna, VA 22182
(within VUIM campus)

My Metro Medicine One of the top Washington Acupuncture practices.
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