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Send Your Feedback

In order to improve our service and meet the needs of our Patients, we would be most grateful to know how satisfied you are with the standard and range of services we provide.

 

How did you find out about Egham Dental Care?

 

 

Please select... Local Press Internet Search Engine Word of Mouth Telephone Directory Walk By Leaflet

 

How would you rate your satisfaction with the following?

 

1 = Excellent   2 = Good   3 = Satisfactory   4 = Unsatisfactory   5 = Poor

 

Speed of your call being answered:

Please select... 1 2 3 4 5

 

Ease of finding the dental practice:

Please select... 1 2 3 4 5

 

Helpfulness of receptionist:

Please select... 1 2 3 4 5

 

Waiting room facilities:

Please select... 1 2 3 4 5

 

Timekeeping (were you kept waiting long?):

Please select... 1 2 3 4 5

 

Welcome received from dentist:

Please select... 1 2 3 4 5

 

Explanation of your treatment:

Please select... 1 2 3 4 5

 

Helpfulness of dental nurse:

Please select... 1 2 3 4 5

 

Professionalism of staff and approach:

Please select... 1 2 3 4 5

 

Information provided about payment:

Please select... 1 2 3 4 5

 

Please add here any comments or suggestions you may have as to how the service provided at Egham Dental Care could be improved:

 

 

Enter any comments here...

 

Please rate your overall satisfaction with the service provided:

 

 

Please select... Delighted Very Satisfied Satisfied Dissatisfied Very Dissatisfied

 

Would you recommend us to your family and friends?

 

 

Please select... Yes No

If no, please state why?

 

 

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Your details

 

Title:

 

Surname:

 

First Name:

 

Email:

 

Address:

 

Postcode:

 

Telephone:

 

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Thank you for taking time to complete this questionnaire.