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Anonymous Feedback Form

Thank you for visiting our practice. Your feedback helps us to improve our care and service. This form is anonymous unless you choose to provide your details.

Today's Visit

What type of appointment did you have:What type of appointment did you have:Check-upHygiene Treatment Emergency Other

Other

Your Experience - Please tick one option foe each question:

How would you rate your overall experience today?How would you rate your overall experience today?Very good Good Neither good nor poorPoor Very poor

Did your dentist/hygienist explain your treatment clearly?Did your dentist/hygienist explain your treatment clearly?Yes, completelyMostly Not clearlyNot at all

Did you feel treated with care, dignity and respect?Did you feel treated with care, dignity and respect?Yes No

Were treatment costs explained clearly (if applicable)?Were treatment costs explained clearly (if applicable)?Yes No Not applicable

Was the practice clean and hygienic?Was the practice clean and hygienic?Yes No

How likely are you to recommend our practice to friends or family?How likely are you to recommend our practice to friends or family?Extremely likelyLikely Not sure Unlikely Extremely unlikely

Tell Us more

What did we do well?

What could we improve?

Optional

Your name

Would you be happy for us to use your anonymous feedback as a testimonial?Would you be happy for us to use your anonymous feedback as a testimonial?Yes No

Your contact details

Would you like us to contact you about your feebdack?Would you like us to contact you about your feebdack?Yes No

Your feedback is reviewed as part of our clinical governance and quality improvement process.

Treatments

General Dentistry
Cosmetic Dentistry
Teeth Whitening
Teeth Straightening
Endodontics
Dental Hygiene

Opening Times

Monday 8:00am to 5:40pm
Tuesday 8:00am to 4:30pm
Wednesday 8:00am to 6:00pm
Thursday 8:00am to 4:30pm
Friday 8:30am to 4:30pm
Saturday 8:30am to 1:00pm (Private Treatment Only Thereafter)
Sunday Closed

The practice is closed for lunch from 1:30pm to 1:30pm on Weekdays. We are closed on Bank Holidays.