Patient Satisfaction Survey

At the Dental Practice we seek to tailor our service to your needs and to keep your experience with us as comfortable as possible. We would be grateful if you could help us by giving us the information that helps us to do this.

Simply complete the following questions and submit the form.

General Experience
General impression of the Practice
Repair and maintenance
Outside of the building
Reception Area
Are the reception staff helpful?
Have you ever been kept waiting too long to see the dentist/hygienist?
Are you and your enquiries dealt with efficiency at the reception?
Waiting Room Area
No Opinion
Is the waiting room relaxing?
Is the waiting room comfortable?
Is the waiting room welcoming enough?
Is there enough activity for children whilst you wait?
Is there enough for you to do whilst you wait?
Clinical Staff
No Opinion
Do you feel confident about the quality of treatment our dentists are providing for you?
Are our dentists friendly/caring?
Do they listen to you?
Do they explain things to you?      
Other staff (dental hygienists, nurses, receptionists)
Are other staff well informed?
Are they friendly/caring?
Do they reassure you?
Patient Information
  Yes No
Are there enough useful dental leaflets?
Does the practice brochure contain enough information?
  Yes No
Is it easy to book an appointment?
Do you have too long a wait for a future appointment?
Would you like the option of early morning/late evening appointments?
Would you like to have (Private only) appointments on a Saturday?
  Yes No
Do you know about the practice complaints procedure?
Do you feel that the practice welcomes complaints?
Have you ever complained in the past?
If yes, was the complaint dealt with to your satisfaction?
Do you know who deals with complaints?

What attracts you most about the practice?

What do you like least about the practice?

Would you recommend the practice to others?


Please tell us why…

Comments and suggestions for improvements

Thanks for completing the survey. If you are happy for us to use your responses on our website and for advertising purposes please initial below along with your town or postcode e.g. AN, Chorlton

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