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Patient Satisfaction Survey
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1.
Question 1.
Which Clinic Location?
Chelsea
Reigate
2.
Question 2.
Clinic Appearance
Excellent
Good
Average
Below Average
Decor
Excellent
Good
Average
Below Average
State of repair
Excellent
Good
Average
Below Average
Outside Appearance
Excellent
Good
Average
Below Average
Cleanliness
Excellent
Good
Average
Below Average
3.
Question 3.
Reception
Yes
No
Are reception staff helpful?
Yes
No
Have you been kept waiting at the clinic too long for a dentist/hygienist appointment?
Yes
No
Are you dealt with efficiently at reception?
Yes
No
4.
Question 4.
Waiting Room
Yes
No
Is it relaxing?
Yes
No
Is it comfortable?
Yes
No
Is it welcoming?
Yes
No
5.
Question 5.
Clinics Personnel - Dentists
Yes
No
Was the dentist helpful?
Yes
No
Was the dentist friendly?
Yes
No
Did the dentist listen to you?
Yes
No
Did you find the dentist easy to understand?
Yes
No
Did the dentist spend enough time talking to you?
Yes
No
Did the dentist answer your questions?
Yes
No
Do you feel confident about the quality of treatment?
Yes
No
Comments:
This is required
6.
Question 6.
Practice Personnel - Nurse/Receptionist
Yes
No
Are the staff helpful?
Yes
No
Are they friendly?
Yes
No
Do they listen to you?
Yes
No
Do they reassure you?
Yes
No
Comments:
This is required
7.
Question 7.
Appointments
Yes
No
Is it easy to book an appointment?
Yes
No
When booking an appointment was one available within a reasonable time?
Yes
No
Are the clinic times suitable for you?
Yes
No
Did you know you can book appointments online?
Yes
No
Comments:
This is required
8.
Question 8.
Facilities
Yes
No
Would you recommend others to the practice?
Yes
No
Comments:
This is required
9.
Question 9.
Practice fees
Yes
No
Do you feel the cost of treatment is fully explained?
Yes
No
Did you receive an estimate for the proposed treatment?
Yes
No
Do you think the practices treatment charges are reasonable?
Yes
No
Comments:
This is required
10.
Question 10.
Why did you choose The Wellington Clinic as your preferred dental provider?
11.
Question 11.
Do you have any suggestions for improving the practice?