Patient Feedback
We would love to hear your thoughts or feedback on how we can improve your experience!
Sign in to Google to save your progress. Learn more
Was this your first visit to the practice?
Clear selection
Which Dentist did you see? *
How easy was it to make an appointment?
Clear selection
Were you satisfied with the promptness of being seen during your visit?
Clear selection
How would you rate your confidence in the dentist's ability and quality of treatment?
Clear selection
How would you rate the dentist's ability to clearly state the treatment and involve you in choices about treatment options?
Clear selection
Did they listen and understand your needs?
Clear selection
Did you feel comfortable to voice any anxiety or fear?
Clear selection
How would you rate the cleanliness of the practice?
Clear selection
Were you confident in the safety of the practice in relation to Coronavirus (COVID-19)?
Clear selection
How did you find the cost of treatment?
Clear selection
How would you rate the friendliness staff?
Clear selection
How likely is it that you would recommend this practice to your friends and family?
Clear selection
Please rate the overall satisfaction of your experience with Heather Tindall Family Dental?
Clear selection
Further comments
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report