Survey Form

We gratefully accept any feedback you may have, so please don't hesitate to write your comments.
Please be assured that the contents of this survey will not be directly communicated to the mistress. Our staff will responsibly use your valuable feedback for mistress & staff education and improving our shop's services.

Your Name*

Date of Visit*

Course Used*

Mistress Name*

Is this your first time using our shop?*

Did you nominate a specific mistress?*

What was your first impression of the mistress?*

How was the mistress's attire?*

How was the mistress's greeting?*

How was the conversation?*

Did you receive the service you requested?*

Would you nominate this mistress again in the future?*

How was the reception staff's customer service?*

If you were to give a score, what would it be?*

Other opinions or requests about the shop

If you have any requests or wishes regarding the mistress

If you noticed any areas for improvement, please write them here.

If you have any other opinions or requests, please write them here.

Thank you for your cooperation.
Finally, please enter your member number or phone number if you are registered.
(This is not a required field.)

Member Number

Phone Number