Patient Survey | Bluebell Dentistry | Cosmetic Dental Practice New Patient Patient Survey Select your Dentist: Select your DentistDr. Suki ShakthiDr. Farrell BentleyDr.Hartej MartharuDr. Alistair S ImamDr. Rahul PatelDr. Rajesh K AlagarswamyDr.Kazeem LaminaDr.Mandeep Benning Your experience with our Dentist (Step 1 of 3) 1.Do you feel that the dentist listened well to your particular requirements and/or concerns? Excellent Very good Good Average Poor 2. Were you given adequate time to consider your treatment? Excellent Very good Good Average Poor 3. Were your options communicated well to you by your dentist? Excellent Very good Good Average Poor 4.Were you requested to sign a treatment plan, which clearly outlined details of your proposed treatment and any costs involved? Excellent Very good Good Average Poor 5. Would you recommend your dentist to your friends and family? Excellent Very good Good Average Poor Please add any further comments below is missing: Select your Receptionist: Select your ReceptionistJade FieldAmara shakthi Your experience with our Receptionist (Step 1 of 3) 6. How easy was it to obtain an appointment? Excellent Very good Good Average Poor 7. Did you find the premises and facilities to your needs? Excellent Very good Good Average Poor 8.Was your patient confidentiality respected? Excellent Very good Good Average Poor 9. Are you satisfied with the way in which you have been treated, either face to face or over the phone? Excellent Very good Good Average Poor 10. We would like you to think about your recent experiences of our service. How likely are you to recommend our dental practice to friends and family if they needed similar care or treatment? Extremely Likely Likely Neither likely or unlikely Unlikely Extremely Unlikely Don't Know Please add any further comments below is missing : Name : Email : Phone :
