Patient Satisfaction Survey

Please write how much you agree with each of the questions below
1 = Totally disagree,
2 = Part disagree,
3 = Neither agree nor disagree,
4 = Part agree,
5 = Fully agree
N/A = Not Applicable

1. 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
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2. I’m usually able to book appointments at times that suit me
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3. When I have to pay for services, I believe the practice provides fair value for money
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4. It’s easy for me to enter and move around the building
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5. The reception, treatment room and other parts of the practice are always clean, comfortable and tidy
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6. Whenever I want to talk about anything privately I am able to do so in a quiet area
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7. I always feel well treated when I call to make an appointment or visit
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8. I have confidence in the knowledge and abilities of the dentists, hygienists and others involved in providing my dental care
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9. I’m always treated with dignity, gentleness and care by the dentist and others
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10. My opinion is always taken into account when my treatment options are being discussed and agreed
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Please answer the specific questions about your visit today
I was kept waiting beyond the time of my appointment:
By no time at allBy less than 5 minutesBy between 5 and 15 minutesBy more than 15 minutes

The dentist/hygienist talked to me about ways that I can prevent gum or tooth problems:
YesNoI 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 thisNoI'm not sure

The dentist/hygienist explained the treatment options including risks and benefits
YesNoI can’t remember

I knew how much I would have to pay for treatment, before I started it
YesNoI can’t remember

Was your treatment:
NHSPrivateBoth NHS and PrivateNot sure

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:
12345678910