Which practice did you visit?

Please select practiceFarringdonLiverpool StreetHampsteadManchester

Date of your appointment

Overall rating for this dentist

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

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

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

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

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How satisfied were you with the outcome of your treatment?

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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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