Patient Survey

We appreciate you taking the time to complete our survey. Please feel free to comment on your visit as well. Any comments you choose to make are kept strictly confidential and can only help us become better in the future.

Patient name:
Address
City:
Postcode:
E-mail address:
How did you hear about the practice?
Recommended by friend/family
Referral by doctor
Local
Advertisement
Phone book
Website
Other: Please specify
Which dentist do you usually visit?
Dr Sanjit Chaudhuri
Dr Abid Abdul-Khaliq
Dr Lorelei Garcia
Dr Neda Zaman
Dr Amin Ibrahim
Dr Carlos Lourenco Sousa
I don`t have a preferred dentist
How long have you been registered at the practice?
I’ve recently joined the practice
1-5 years
More than 5 years
How long do you wait to be seen for your appointment?
I’m usually seen on time
15 minutes
30 minutes
Over 30 minutes
When you’re due for your check up, which of these methods would you prefer us to contact you via?
Phone call
Post
Email
Text
How would you rate the manner in which you were treated by the support staff?
Excellent
Very good
Fair
Unsatisfactory
My overall satisfaction with the dentist
Excellent
Very good
Fair
Unsatisfactory
How would you rate our services?
Excellent
Good
Average
Unsatisfactory
Would you refer your friends and family to us?
Yes
No
What do you like best about TLC Dental Surgery?
What would you suggest to better improve our service?
Please comment on how we could make your visit better, new services you would like to see, or other ways we can make you feel more comfortable.
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Dentists East London - Cosmetic Dentist Plaistow - TLC Dental

Cosmetic dentistry East London – We offers dental patient survey to understand their need and give them satisfaction at Plaistow.