Survey - Delaware Integrative Medicine

About Us
Testimonials
Contact Us
Shop

Schedule a Consultation

Or Call Us: 302-258-8853

Or Call Us: 302-258-8853

Schedule a Consultation

Conditions & Treatments
- Conditions
- Treatment
Wellness & Aesthetics
Bioidentical Hormone
Regenerative Medicine
Sexual Wellness
- V-Shot
- P-Shot

Schedule Appointment

Menu

STORE IS UNDERGOING MAINTENANCE AND PLEASE CALL TO PLACE AN ORDER MESSAGE ON THIS SITE.

SATISFACTION SURVEY

SATISFACTION SURVEY

Thank you for partnering with us to improve your well-being. We would like a few moments of time to ask you some questions to help us serve you better.

LinkedIn
This field is for validation purposes and should be left unchanged.
Name*
First Last
Email*
What treatment(s) did you have?*
Please rate the following based on your experience: (5 star=Excellent, 1 star=Not good)
Ease of scheduling appointment*
ExcellentPretty goodNeutralNot so greatTerrible
Office environment, cleanliness, friendliness of staff*
ExcellentPretty goodNeutralNot so greatTerrible
Overall satisfaction with your provider (How well the provider listened, answered questions & time spent during visit)*
ExcellentPretty goodNeutralNot so greatTerrible
Satisfaction with results of your treatment?*
ExcellentPretty goodNeutralNot so greatTerrible
How likely are you to recommend Delaware Integrative Medicine to family and friends?*
Very likelySomewhat likelyNeutralSomewhat unlikelyVery unlikely
Level of trust in provider's decisions?*
ExcellentPretty goodNeutralNot so greatTerrible
How well provider listens and answers questions?*
ExcellentPretty goodNeutralNot so greatTerrible
Spends appropriate amount of time with patients?*
ExcellentPretty goodNeutralNot so greatTerrible
Fairness of price?*
ExcellentPretty goodNeutralNot so greatTerrible
Overall experience?*
ExcellentPretty goodNeutralNot so greatTerrible
What was your favorite part of your treatment?
How did you find us?*
- Online search engine
- News article
- Seminar
- Website
- Social media (Facebook, Twitter, Pinterest, etc.)
- Referred by a friend
Did you experience any problems, have suggestions, or other comments?
May we post your review public?*
- Yes
- Yes, but only use my initials
- No, I would prefer my review remain private
Would you like to subscribe to our newsletter?*
- Yes
- No
CAPTCHA

Sign Up For Our Monthly Newsletter

Name
This field is for validation purposes and should be left unchanged.
Name
First Last
Email

ABOUT US

Dr. Childers is here to help you navigate to new levels of health and wellness by stimulating healing with non-surgical treatments, identifying, addressing, and treating indications of pain and chronic pain factors.

*Please note, insurance is not accepted.

20930 Dupont Blvd. Suite 203 Georgetown, DE 19947

302-487-0583 fax

FIND US

Copyright © 2026 Delaware Integrative Medicine | All Rights Reserved | Privacy Policy

Designed by: MC CREATIVE GROUP

Due to inclement weather, our office will be closed on Monday, January 26th.