Feedback Form

Thank you so much for visiting Eternity Health Partners powered by Age Management Institute.

We hope that you enjoyed your experience and will come back to see us soon! To help us continue our high standard of service, we invite you to take our brief survey below. Your feedback is so important to us and we want to hear how we can better serve you in the future.

Email *

Were you ever a member at EHP? *

If you answered "Yes, I've been a member" why did you decide to enroll in membership with us?

If you answered "no" why did you decide not to enroll in a membership program with EHP?

How satisfied were you with your treatment plan? *

How informative was our staff and team of medical professionals? *

What was the reason you decided not to move forward and/or cancel your membership/treatment plan?

Tell us more about your experience: *

How likely are you to recommend us? *

Do you have any additional feedback you would like to share?