Your Feedback is Very Important to Us

Dental Care Professionals would like your feedback about your experience to help us provide a better standard of service and care to you and our patients in general. We request a few moments of your time to thoughtfully complete the following survey. The information given will be held in strict confidence and providing your name is entirely optional.

We thank you for your comments.

Next to each statement about the care you received, please tick to indicate whether you AGREE, are UNSURE or DISAGREE. Please explain next to COMMENTS if you DISAGREE.

Appointments

	Agree	Unsure	Disagree
It was simple to arrange an appointment.
Appointment options were offered.
The receptionist was polite and helpful.
I received a reminder for my appointment.
I was seen on time for my appointment. If not, I was informed.

Staff

	Agree	Unsure	Disagree
The Reception staff were professional and caring.
The dentist was professional, caring and considerate to my needs.
The dental hygienist was professional and caring
The dental assistant was friendly and caring
Other Office personnel were courteous and helpful

Payment Options

	Agree	Unsure	Disagree
The Reception and Waiting Area were clean and tidy.
The Clinic was clean and tidy.

	Agree	Unsure	Disagree
My proposed dental treatment was explained
Any questions I had were answered.
I was pleased with my dental treatment.
I would recommend this practice to a friend or relative