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01689 823636.
"very friendly and talks through everything with you"
Tel: 01689 823636.

young woman looking upward and smiling

Feedback form

Dear Patient,

We would be grateful if you could answer the following questions about your recent visit to our surgery:

How was our welcome when you arrived for your appointment?

GoodFairPoor

How clean did you find the Practice?

GoodFairPoor

Did you see the dentist/hygienist on time?

YesNoUnsure

While in the surgery did you feel as comfortable/relaxed as you could be?

YesNo

Did you understand everything that was explained to you by the dentist/hygienist?

YesNo

Did we meet your expectations and fulfil your reasons for coming?

YesNo


400 chars max. 
Can we use your comments in our marketing material? YesNo

Please enter your name or Initials (optional)

Many thanks. Natalie Fox (Practice Manager).