| What is your name?: * |
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| What was the date you recieved your piercing/tattoo?: * |
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| What is your email address?: * |
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| Which shop location were you at?: * |
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| Were you greeted promptly?: * |
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| If no, how long did it take before someone talked to you?: |
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| Did you get a piercing or tattoo?: * |
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| Is it healing well?: * |
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| Did you recieve aftercare instructions?: * |
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| Are you happy with your tattoo or peircing?: * * |
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| If no, please provide a brief reason: |
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| Who was your tattoo/piercing artist?: * |
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| Was your tattoo/piercing artist courteous, knowledgable, and professional?: * |
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| Would you recommend this artist to your friends and family?: * |
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| If no, please provide a brief explaination: |
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| Is there any reason why your would not recommend this shop to your friends and family?: |
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| If yes, please provide a brief explaination: |
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| Any other comment?: |
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