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Patient feedback survey
We really appreciate you taking a few minutes to help us guage how we are doing and perhaps showing us where we may still be able to improve.
*
1.
Efficient Booking. How easy and convenient was it to make an appointment?
(Required.)
Very Easy
Fairly Easy
Not Easy
2.
Waiting times. We aim to see all patients promptly, and certainly within 10 minutes. How long did you have to wait today ( or the last time you attened) before you were seen ?
I didn't have to wait beyond when I was due
Less than 10 minutes
10 to 20 minutes
more than 20 minutes
3.
Courtesy. During your visit were you treated professionally and with respect by our staff.
Yes, at all times
Mostly
No, not at all
4.
Information. We hope to always show and fully explain any suggested treatment options and alternatives, and to give you plenty of time and opportunity to ask questions. How satisfied are you that we succeeded.
Very satisfied
Fairly satisfied
Not Satisfied
5.
Costs Explained. It is our policy to provide all patients with a detailed treatment plan with a clear breakdown of costs before any treatment starts. How satisfied are you with the information given to you about the cost of your treatment.
Very satisfied
Fairly Satisfied
Not Satisfied
6.
Treatment. How satisfied are you with the outcome of your treatment?
Very Satisfied
Fairly Satisfied
Not Satisfied
7.
How likely are you to recomend ourpractice to yourfamily and friends?
Very Likely / I have already recommended
Quite Likely
Not Likely
8.
The dental team explained how I can improve and/or maintain my oral health, and where necessary reduce my risk of oral cancer. How confident are you with this?
Very confident
Fairly confident
Not very confident
9.
Have we got it right or how can we improve? Please write few things that you liked about our practice or how we could improve it.
10.
Would you like us to respond to you? if so please leave your name and email or phone number. Thank You