Patient Feedback and Testimonial Form
Which Treatments do you receive - check all that apply:
Muscle Activation Technique
Holistic Nutritional Counseling
Integrated Holistic Medicine
Has treatment from AST changed or improved your quality of life?
Please explain how or why?
Is there an activity, sport or task you can now do that you couldn't before?
Please explain what it is?
How likely are you to refer our services to a friend or family member?
Do you have any additional feedback, suggestions, or a testimonial to share?
Would you allow us to publish your feedback as a testimonial?
This iframe contains the logic required to handle Ajax powered Gravity Forms.
Active Sports Therapy
2016 - Web Design by