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SPECIALIST
ABOUT US
OUR TEAM
ADVANCED TECHNOLOGY
3D IMAGING (CBCT)
DIGITAL RADIOGRAPHY (X-RAYS)
LASER TECHNOLOGY
MICROSCOPE
SEDATION
MEDIAS
LEARNING
COURSES
CBCT INTERPRETATION
MENTORING OPTIONS
OBSERVATION DAY
REFERRING DENTISTS
REFERRING DENTISTS PORTAL
ONLINE REFERRAL FORM
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NHS FUNDING
PATIENT INFO
FINANCE YOUR TREATMENT
NHS FUNDING
PATIENT PORTAL
PRICES
SATISFACTION SURVEY
ABOUT THE PROCEDURE
FAQ
CONTACT US
Menu
SPECIALIST
ABOUT US
OUR TEAM
ADVANCED TECHNOLOGY
3D IMAGING (CBCT)
DIGITAL RADIOGRAPHY (X-RAYS)
LASER TECHNOLOGY
MICROSCOPE
SEDATION
MEDIAS
LEARNING
COURSES
CBCT INTERPRETATION
MENTORING OPTIONS
OBSERVATION DAY
REFERRING DENTISTS
REFERRING DENTISTS PORTAL
ONLINE REFERRAL FORM
DOWNLOAD REFERRAL FORM
NHS FUNDING
PATIENT INFO
FINANCE YOUR TREATMENT
NHS FUNDING
PATIENT PORTAL
PRICES
SATISFACTION SURVEY
ABOUT THE PROCEDURE
FAQ
CONTACT US
Patient Portal
Referring Dentist Portal
SPECIALIST
ABOUT US
OUR TEAM
ADVANCED TECHNOLOGY
3D IMAGING (CBCT)
DIGITAL RADIOGRAPHY (X-RAYS)
LASER TECHNOLOGY
MICROSCOPE
SEDATION
MEDIAS
LEARNING
COURSES
CBCT INTERPRETATION
MENTORING OPTIONS
OBSERVATION DAY
REFERRING DENTISTS
REFERRING DENTISTS PORTAL
ONLINE REFERRAL FORM
DOWNLOAD REFERRAL FORM
NHS FUNDING
PATIENT INFO
FINANCE YOUR TREATMENT
NHS FUNDING
PATIENT PORTAL
PRICES
SATISFACTION SURVEY
ABOUT THE PROCEDURE
FAQ
CONTACT US
Menu
SPECIALIST
ABOUT US
OUR TEAM
ADVANCED TECHNOLOGY
3D IMAGING (CBCT)
DIGITAL RADIOGRAPHY (X-RAYS)
LASER TECHNOLOGY
MICROSCOPE
SEDATION
MEDIAS
LEARNING
COURSES
CBCT INTERPRETATION
MENTORING OPTIONS
OBSERVATION DAY
REFERRING DENTISTS
REFERRING DENTISTS PORTAL
ONLINE REFERRAL FORM
DOWNLOAD REFERRAL FORM
NHS FUNDING
PATIENT INFO
FINANCE YOUR TREATMENT
NHS FUNDING
PATIENT PORTAL
PRICES
SATISFACTION SURVEY
ABOUT THE PROCEDURE
FAQ
CONTACT US
Patient Satisfaction Survey
Home
Satisfaction Survey
We want to provide the best service we can for our patients. To help us to do this we want to know what you think about the care you have received from the practice, by completing this questionnaire.
In the reception area, can other patients overhear what you say to the receptionist?
Other patients can overhear, but I don't mind
Other patients can overhear, I'm not happy
Don't know
How satisfied are you with the hours that this dental surgery is open?
Very satisfied
Neither satisfied nor dissatisfied
Very dissatisfied
How good was that dentist at explaining tests and treatments to you and involving you in the decision making?
Very good
Good
Neither good nor poor
Poor
Very poor
How good was that dentist at treating you with care and concern.
Very good
Good
Neither good nor poor
Poor
Very poor
Would you know how to complain if you had an issue?
Yes I would
No I wouldn't
Did you have confidence and trust in the dentist?
Definitely had confidence
Had confidence to some extent
No confidence at all
Would you say this dental surgery is clean and hygienic?
Definitely would
Probably would
Aren't sure
Probably wouldn't
Definitely wouldn't
Overall, how would you describe your experience of this dental surgery? From first
Very good
Good
Contact, until the completion of your treatment.
Neither good nor poor
Poor
Very poor
Overall would you say there are enough staff working at this dental surgery to meet your health needs?
Yes I would
Aren't sure
No I wouldn't
Are there any other comments you would like to make?
Which dentist are you here to see today?
Your Name
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