Bore Street Dental Practice Ltd. Patient Questionnaire

At Bore Street Dental Practice Ltd. we take our patient care seriously.

We would be grateful if you would take a short amount of time to share your views with us.

This will help us to maintain the standards that you have become accustomed to.

We would like to assure you that any information supplied is done so anonymously and in the strictest confidence, by completing this online survey you are giving your consent for Bore Street Dental practice Ltd. to use the data provided.

Please complete all of the following sections.

    This is a required question
    General Appearance
    Speed and efficiency of reception
    Helpfulness of staff
    Cleanliness of the surgeries
    Cleanliness of the waiting area
    Please enter one response per row
    Receptionist
    Dentist
    Nurse
    Hygienist
    Please enter one response per row
    Toothbrush
    Toothpaste
    Floss/Tape
    Interdental brushes
    Mouthwash
    Please enter one response per row
    Is the cost of treatment fully explained
    Would you like to have a written estimate for the proposed treatment
    Do you think that the practice’s private charges are reasonable
    Are you interested in paying for private charges via a monthly pre payment plan
    Please enter one response per row
    This is a required question
    This is a required question
    Is it easy to book an appointment
    Do you consider the waiting time for future appointments excessive
    Please enter one response per row
    This is a required question
    This is a required question
    This is a required question
    This is a required question