www.gentledental.co.uk

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01637
852252
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Online Questionnaire

We very much welcome feedback on how you have been looked after. Please take a few moments to complete this feedback form in order that we can strive to improve our service to you.

Scale 1 to 5 strongly disagree (1) to strongly agree (5)
Name:

Reception

The phone is answered quickly and my enquiry is dealt with efficiently	1 2 3 4 5
Reception staff were attentive	1 2 3 4 5
I was welcomed and dealt with quickly and efficiently	1 2 3 4; 5
My account was correct and any questions explained	1 2 3 4 5
I was offered a written estimate of the costs of the treatment	Yes No

The Treatment

The dentist was courteous and listened carefully to what I had to ask him	1 2 3 4 5
My treatment was painless	1 2 3 4 5
My treatment was carried out in an unhurried and professional way	1 2 3 4 5
The surgery was clean and tidy	1 2 3 4 5
After treatment I was given a rinse and the need for any further visits explained	1 2 3 4 5
The treatment has settled quickly and is comfortable	1 2 3 4 5
I am happy with my experience	1 2 3 4 5
I am happy with my smile and the appearance of my teeth	1 2 3 4 5
I would consider recommending a friend to Gentle Dental	Yes No
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Scale 1 to 5 strongly disagree (1) to strongly agree (5)

55 Henver Road, Newquay, Cornwall TR7 3DH Tel:(01637) 852252
General: info@gentledental.co.uk Appointments: reception@gentledental.co.uk

Company Reg No: 596738