Patient Feedback Form 
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You recently had treatment at SE9 Dental Care. We are constantly looking to improve the quality of care that we deliver. We would be grateful if you could provide feedback about your experience with us. You can complete the form anonymously.

 Hardcopy of form is available in the practice at the reception should you wish to complete a paper copy instead.

1)      Was it easy to book an appointment?

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2)      Is the practice easily accessible?

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3)   Is the practice environment safe, friendly and comfortable? *
4)   Were all treatment options including details of procedure, risks, benefits and costs explained clearly and to your satisfaction? *
5)  Were you given a written treatment plan?  *
6)  Did you understand the treatment plan and have enough opportunities to ask questions? *
7)  Was the dentist gentle, considerate and sympathetic towards your needs especially if you have dental phobia/ nervousness/ strong gagging reflex/ special needs?  *
8)  Are you happy with the treatment outcome? *

9)   Would you recommend SE9 Dental Care to your family and friends?

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10)  Any suggestions / Comments:
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