01925 768 111
Home
About
Testimonials
Case Photos
Treatments
Dental Implants
Bone Grafting
Facial Aesthetics
Cosmetic Dentistry
Endodontics
Restorative Dentistry
Periodontics
Teeth Whitening
Invisalign®
Beauty Spa
Eye Treatments
Waxing
Nails
Other Treatments
Fees
Dental Fees
Dental Membership Plan
Beauty Spa Fees
Contact
Dental Feedback
Dental Feedback
FEEDBACK & COMPLAINTS
Full Name
Email Address
Your visit was on
(dd/mm/yyyy)
Overall rating for this dentist
I would recommend this practice to friends or family.
I would not recommend this practice.
How satisfied were you with the time you had to wait for an appointment?
does not apply
Very satisfied
Fairly satisfied
Neither satisfied nor dissatisfied
Fairly dissatisfied
Very dissatisfied
Were you treated with dignity and respect by staff at the practice?
does not apply
At all times
Mostly
Sometimes
Rarely
Never
How satisfied were you that the dental practice involved you in decisions about your care?
does not apply
Very satisfied
Fairly satisfied
Neither satisfied nor dissatisfied
Fairly dissatisfied
Very dissatisfied
How satisfied were you with the information given by the practice on the cost of your treatment?
does not apply
Very satisfied
Fairly satisfied
Neither satisfied nor dissatisfied
Fairly dissatisfied
Very dissatisfied
How satisfied were you with the outcome of your treatment?
does not apply
Very satisfied
Fairly satisfied
Neither satisfied nor dissatisfied
Fairly dissatisfied
Very dissatisfied
What I liked
Enter comments
of 2000 remaining
What could have been improved
Enter comments
of 2000 remaining
Any other comments
Enter comments
of 2000 remaining
Please summarise your overall experience in a single sentence
of 80 remaining
I consent to my personal data being collected and stored as per the
Privacy Policy
.
I consent to my personal data being collected and stored for the purpose of marketing communications.