Please give us your valuable feedback The information available to me (e.g., in leaflets at reception) covers all that I need to know about using the practice’s services and looking after my dental care Totally disagree Part disagree Neither agree nor disagree Part agree Fully agree Not Applicable I’m usually able to book appointments at times that suit me Totally disagree Part disagree Neither agree nor disagree Part agree Fully agree Not Applicable When I have to pay for services, I believe the practice provides fair value for money Totally disagree Part disagree Neither agree nor disagree Part agree Fully agree Not Applicable It’s easy for me to enter and move around the building Totally disagree Part disagree Neither agree nor disagree Part agree Fully agree Not Applicable The reception, treatment room and other parts of the practice are always clean, comfortable and tidy Totally disagree Part disagree Neither agree nor disagree Part agree Fully agree Not Applicable Whenever I want to talk about anything privately I am able to do so in a quiet area Totally disagree Part disagree Neither agree nor disagree Part agree Fully agree Not Applicable I always feel well treated when I call to make an appointment or visit Totally disagree Part disagree Neither agree nor disagree Part agree Fully agree Not Applicable I have confidence in the knowledge and abilities of the dentists, hygienists and others involved in providing my dental care Totally disagree Part disagree Neither agree nor disagree Part agree Fully agree Not Applicable I’m always treated with dignity, gentleness and care by the dentist and others Totally disagree Part disagree Neither agree nor disagree Part agree Fully agree Not Applicable My opinion is always taken into account when my treatment options are being discussed and agreed Totally disagree Part disagree Neither agree nor disagree Part agree Fully agree Not Applicable I was kept waiting beyond the time of my appointment: By no time at all By less than 5 minutes By between 5 and 15 minutes By more than 15 minutes The dentist/hygienist talked to me about ways that I can prevent gum or tooth problems: Yes No I can't remember I would know how to make a complaint about my treatment today if I needed to: Yes, I’m aware that the practice has a procedure for this No I'm not sure The dentist/hygienist explained the treatment options including risks and benefits Yes No I can't remember I knew how much I would have to pay for treatment, before I started it Yes No I can't remember Was your treatment: NHS Private Both NHS and Private Not sure My dentist’s name is: On a scale of 1 to 10, where 1 means “not at all" and 10 means “definitely", please score how likely you would be to recommend our practice to another person: Please briefly say why you chose this score: Comments and suggestions: Name (Optional) Contact details: I consent to my data being used in accordance to the Privacy Policy. Submit
