
Friends & Family Test
Patient Survey
Central Park Dental Practice Ltd
Thinking about your dental practice...
Overall, how was your experience of our service?
Please select one
Very good
Good
Neither good nor poor
Poor
Very poor
Don't Know






Please use the box below to tell us why you gave your answer and let us know if there is anything we could have done better?
Your answers are completely anonymous but we may use your comments in our practice. Please tick this box if you DO NOT wish your comments to be made public.

Next Step

About you ...
Are you?




Male
Female
Are you nervous about visiting the practice?
Not at all
Very
Your age?





Under 18
18-29
30-44
45-65
Over 65

Next Step





































or click here if you didn't see a dentist

More team members

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Which hygienist did you see?





































or click here if you didn't see a hygienist

More team members

Next Step
Is there anyone else you want to score?





































Next Step
Please Rate Our Team


Excellent
Average
Poor
Not Scored


Excellent
Average
Poor
Not Scored


Excellent
Average
Poor
Not Scored


Excellent
Average
Poor
Not Scored


Excellent
Average
Poor
Not Scored


Excellent
Average
Poor
Not Scored


Excellent
Average
Poor
Not Scored


Excellent
Average
Poor
Not Scored

Next Step
About your visit ...
Please Rate
Poor
Excellent
N/A
The time it took to be given an appointment
Do you feel sufficiently involved in decisions about your care
Are you able to speak and eat comfortably after treatment was completed







Was it helpful?
Not at all
Very

Next Step
About our practice
Please Rate
Poor
Excellent
N/A
The comfort and style of our practice
The cleanliness of the dental practice
The comfort and style of the surgery
How does the practice cater for children
Your satisfaction with the dentistry received











Next Step
About our team
Please Rate
The helpfulness of practice staff


Your last telephone contact with the practice


The overall impression of our receptionists


The overall impression of our nurses



Thank you for your feedback!
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