Central Dental Group Patient Feedback
All feedback received is handled confidentially and in accordance with our privacy policy.
Was this your first visit to the practice
Which Dentist/Hygienist/Therapist did you see? *
Required
Please rate your experience when calling the practice to make an enquiry or appointment?
Please provide further feedback if necessary
Your answer
How would you rate the reception you received upon arrival at the practice?
Please provide further feedback if necessary
Your answer
How punctual was the practice for your appointment?
How would you rate your welcome into the treatment room?
How would you rate nursing staff during your appointment?
Please provide further feedback if necessary
Your answer
How clearly was the treatment explained to you?
Please provide further feedback if necessary
Your answer
How would you rate the cleanliness and tidiness of the practice?
Please provide further feedback if necessary
Your answer
How likely are you to refer family and friends to Central Dental Group?
If you would like to leave your name please do so below, otherwise leave space blank
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service