Questionnaire for Clients

In an effort to improve our services to you and ensure you are well informed, we ask that you complete this questionnaire.

How many times have you been to our clinic?
1 2 3 4 or more

I was here for :
Vein Treatment
Aesthetic treatment with Dr
Aesthetic Treatment with Nurse

1-Not Satisfied /  5-Excellent

My questions were answered to my satisfaction
1 2 3 4 5

I was well informed throughout the visit
1 2 3 4 5

The overall service was exceptional
1 2 3 4 5

SOMA is considering introducing a new treatment for body contouring and reducing stubborn fat.
Would this treatment interest you?
Yes No

For any score of 3 or less, please let us know what we could have done differently:

Other comments or suggestions:

Thank you for your time.


Phlebology Logo

Newsletter Signup

Email Address


Fall / Winter Hours
Mon, Tues, Thurs & Fri 9AM-5PM
Wednesday 9AM-8PM

Our new location is 2622
Agricola St., Halifax

(P) 902.835.2266
(F) 902.835.3667

Interested in working at SOMA?
Click Here

Request an Appointment

Email Address

A Birthday Gift for You!

10% off Botox and Fillers during your birthday month!

We now offer Botox treatment for excessive sweating!