feedback form

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Which practice did you visit?

Date of your appointment

Overall rating for this dentist

How satisfied were you with the time you had to wait for an appointment?

Were you treated with dignity and respect by staff at the practice?

How satisfied were you that the dental practice involved you in decisions about your care?

How satisfied were you with the information given by the practice on the cost of your treatment?

How satisfied were you with the outcome of your treatment?

What I liked

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What could have been improved?

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Any other comments

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Please summarise your overall experience in a single sentence

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