Patient Satisfaction Survey

Your feedback is invaluable and will help to improve our service. If you would like your feedback to be anonymous just leave the name and email boxes blank.

Name

First Name

Last Name

I am usually able to book appointments at the times that suit me:

I always feel well treated when I call to make an appointment or visit:

It’s easy for me to enter and move around the building:

The reception, treatment room and other parts of the practice are always clean, comfortable and tidy:

I was kept waiting beyond the time of my appointment:

Whenever I want to talk about anything privately I am able to do so in a quiet area:

I’m always treated with dignity, gentleness and care by the hygienist and others:

I have confidence in the knowledge and abilities of the dentists, hygienists and others involved in providing my dental care:

My opinion is always taken into account when my treatment options are being discussed and agreed:

The dentist/hygienist talked to me about ways that I can prevent gum or tooth problems:

The dentist/hygienist explained the treatment options including risks and benefits:

I would know how to make a complaint about my treatment today if I needed to:

I knew how much I would have to pay for treatment, before I started it:

When I have to pay for services, I believe the practice provides fair value for money:

There is further information available to me post treatment:

(In the form of online links or leaflets)

Please score how likely you would be to recommend our practice to another person:

Comments and suggestions:

Patient Satisfaction Survey

Premium Dental Hygiene Services, W1U 2AU