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Feedback Form

We welcome and value feedback from all of our patients. We are committed to continuously improving our practice and service. If you have any questions, concerns or suggestions then speak or write to us.  Alternatively fill in the form below. 


First Name:

1. How did you hear about us:
2.  How satisfied were you with the following:
3.  The manner in which you were welcomed:
4.  Were you treated with dignity and respect
     by our staff:
5.  Time you had to wait at your appointment:
6.  General cleanliness and hygiene:
7.  How we involved you in your care and
     explanation of your treatment:
8.  Explanation of costs:
9.  Please add any suggestions or comments
     which will help us to improve our
Type the characters you see:
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