Patient Feedback

We want to provide you with the very best possible personal care and service that meets your needs. To do this, it is important that we know your views on the practice and the care that we provide and to ask your opinions on where we can improve. Please complete this form and post it in the box in reception.

How did you hear about the practice?

How did you hear about the practice?*

General appearance of practice

Décor*
State of repair / maintenance*
Outside appearance*
Cleanliness*

Reception

Are the reception staff helpful?*
Are they efficient?*
Have you ever been kept waiting too long to see the dentist/hygienist?*

Waiting room

Is it relaxing?*
Is it comfortable?*
Is it welcoming?*
Is there enough for children to do?*
Is there enough for you to do?*

Practice personnel

Dentists

Are the dentists caring?*
Are the dentists helpful?*
Are the dentists friendly?*
Do they listen to you?*
Do they explain enough to you?*
Do you feel confident about the quality of treatment they provided?*

Other staff (therapists, hygienistsm nurses, receptionists)

Are they friendly?*
Are they caring?*
Are they helpful?*
Are they well informed?*
Do they reassure you?*

Patient information

Would you like dental videos in the waiting room?*
Did you have brefore and after photographs taken?*

Appointments

Is it easy to book an appointment?*
Is the length of time you wait for future appointments acceptable?*
Would you like the option of early morning/late evening appointments?*
Are there any other times that you would like the practice to be open?*
What about Saturday or Sunday appointments?*

Facilities

Do you prefer your teeth to be cleaned by a dentist?*
... or by a dental hygienist?*
Would you like to be able to buy discounted toothpaste, toothbrushes, mouth rinse, floss etc*
Would you value more entertainment for children?*

Thank you for taking the time to complete this survey.

This survey is confidential but if you have a particular comment or observation you would like us to address or if you are happy for us to contact you with regard to developing our services in the future, kindly complete your contact details.

Contact Details

Thank you,
Dr Alexandra Germain
Founder of IDENTITY Clinic

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