Dental ImplantsDental Implants

Patient Feedback 

 

PATIENT SATISFACTION QUESTIONNAIRE

 

Thank you for visiting us. To help us improve our services, please complete this short questionnaire so that we can make things even better at your next visit. Please tick the answer that best matches your view.

 

1. First Name :

2. Surname :

3. Approximately how long after your scheduled appointment time did you have to wait to be seen?

 

I was seen at the time of my appointment

I waited 5 – 10 minutes

I waited 10- 15 minutes

I waited longer than 20 minutes

4. Were you given an explanation for the delay?

 

Yes, and it was satisfactory

Yes, but it was unsatisfactory

No

5. If our opening days/ hours do not suit you, what days / hours would be more convenient?

 

6. How satisfied were you with the following, please tick where appropriate.

 

 

Very Satisfied

Satisfied

Dissatisfied

Very dissatisfied

Manner in which you were welcomed

Cleanliness of the practice

Dentist’s ability to listen to you

Dentist’s ability to convey information
About you oral health

Dentist’s ability to convey treatment
Options

Details of prices and payment options

Your questions being answered

7. How long have you been a patient at this practice?

 

1 Year

2 to 3 years

4 to 4 years

4 or more years

8. Thinking of your entire visit, what stands out as most positive?

 

9. What one thing could have made your visit a better one?

 

10. Do you have any comments you wish to make?

 

11. Would you be happy to be contacted to find out more about what they think of our services and their suggestions for improvement?

 

Yes

No

 

Thank you for your help!

 

 

 

Specialist Childrens Dentistr Request a Call Back Emergency Dental CareDedicated to Nervous Patients

 

Note: We are unable to adapt the current toilet facilities to make them suitable for use by patients in wheelchairs.

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