Insert Your Company Letterhead Here

Date Here

Client Name
Client Mailing Address

Dear {Patient/Client},

As I was looking over our {patient/client} files the other day, I noticed you were one of my best {patients/clients}, and I wanted to write to ask you a favor.

I’m in the process of putting together a list of testimonials -- a collection of comments about {our services} from valued {patients/clients} like you.

I was wondering if you would be so kind as to take a few minutes to give me your opinion on our {services}?

There’s no need to dictate a formal letter -- just jot your comments on the attached form, sign it, and send it back to me.

If you’ll be kind enough to give me your comments, I’ll be pleased to return the favor by sending you a FREE {Gift}.

I look forward to learning what you like about our {practice/firm}, but I also welcome any suggestions or criticisms you have.

Thanks so much for your time.

Warmest regards,

{Your Name}

P.S. Whoever sends in the best success story will also get a FREE {better gift with higher value}.

Testimonial Form:

Please Return To:
{Your Practice/Firm’s Name}
{Your Address}

Please write your comments and/or success stories and sign below:





{Your Practice/Firm Name} has my permission to quote from my comments and use only my name and city in testimonials. I understand you will NOT give or publish my name with my address or phone numbers to anyone!

Signature: _______________________________________________

Print Name: ______________________________________________

City: _____________________________________________________

Date: _____________________________________________________