Patient Feedback

Happy or Sad? Give us your feed back to help encourage and improve services. As well as completing the form below, you can also do this at our new electronic kiosk in reception, or ask for a feedback form at reception.

Patient Feedback Survey
Please note fields marked with * are required

How satisfied were you with the time you had to wait for an appointment?
Appointment time*
 Very satisfied
Quite satisfied
OK
Could be better
Not at all
Were you treated with dignity and respect by the staff at the practice?
I was treated*
 Very well
Quite well
OK
Could be better
Badly
How satisfied are you that the dental practice involved you in decisions about your care?
I was*
 Totally involved
Quite a lot
More or less involved
Not very involved
Not at all involved
How satisfied are you with the information about the charges for your NHS treatment, provided to you at the practice?
The information is*
 Very good
Quite good
OK
Could be better
Not good enough
How satisfied are you with your dental treatment?
I am*
 Very satisfied
Quite satisfied
OK
Not very satisfied
Not at all satisfied
Other Comments
Contact name*
Contact telephone
E-mail address
Tick if ok for us to contact you for more information (make sure you've given us your email address or phone number)
Enter security text
*