Please tell us about your recent visit.

Name *

First Name

Last Name

Email

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Would you say that you were satisfied with your treatment? *

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

Would you recommend us to others? *

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

Tell us how we did

Tell us what you thought about your treatment today.

Do you have any future recommendations?

Tell us if you have any suggestions that would make the treatments more memorable.

Do you give us permission to use your review? *

On occasion, we may select reviews to post to the website. Do you authorize us to post the review to our website on your behalf? We will only post non-identifying information and limit any names to initials.

Yes, I give you permission to use my submitted review as long as you ensure that any identifying information is removed, and my name is limited to initials.

No, I do not want you to use my review for posting on the website.

Thank you for your review!

As an appreciation for your feedback, we will give a $25 credit to your account for any future treatment.

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Jeunesse Palace Medi Spa, 1405 Hunt Club Road, Gurnee, IL, 60031, United States(847) 856-1800