Patient Survey

Welcome to our practice, if you would like to fill in this patient survey.

1. How easy and convenient was it to make an appointment?

Very EasyFairly EasyNot Easy

2. We aim to see all patients within 15 minutes. How long did you have to wait today before you were seen?

I didn’t have to waitBetween 15 and 30 minutesLonger than 30 minutes

3. During your visit, were you treated professionally and respect by our staff?

Yes at all timesMostlyNo, Not at all

4. We hope to always show and fully explain any suggested treatments and to give you plenty of time and opportunity to ask questions. How satisfied are you that we succeeded?

Very satisfiedFairly satisfiedNot Satisfied

5. It is our policy to provide all patients with a detailed treatment plan and costs before any treatment starts. How satisfied are you with the information given to you about the cost of your treatment?

Very satisfiedFairly satisfiedNot Satisfied

6. How satisfied are you with the outcome of your treatment?

Very satisfiedFairly satisfiedNot Satisfied

7. How likely are you to recommend our practice to family and friends?

I already have recommendedQuite likelyNot likely

8. Have we got it right or how can we improve? Please write a few things that you think we should improve or what you like about our practice:

Please contact me about my comments and suggestions

Would you like us to respond to you? If so give your contact details here:

Your name

Your email address

Your telephone number

Thank you for you for taking this opportunity to give us your views. You can either email this or post it to us.