What do you think?

We are always striving to make your experience with Coburg Dental Group a positive one. We would love to hear your thoughts.

First Name

Your Email (for future contact purposes)

Approximately how long after your scheduled appointment time did you have to wait to be seen?

Were you given an explanation for the delay? Choose "Not applicable" if your scheduled time was met.

How satisfied were you with the following? Please tick.

i.The friendliness/courtesy of the reception staff was:
Very PoorPoorFairGoodVery Good

ii.The friendliness/courtesy of the dental assistant was:
Very PoorPoorFairGoodVery Good

iii.The friendliness/courtesy of the dentist/hygienist was:
Very PoorPoorFairGoodVery Good

iv.The punctuality of the dentist/hygienist was:
Very PoorPoorFairGoodVery Good

v.The explanations of the dentist/hygienist about my problem/treatment was:
Very PoorPoorFairGoodVery Good

vi.The amount of time the dentist/hygienist spends time with me was:
Very PoorPoorFairGoodVery Good

vii.The instructions the dentist/hygienist gave me about my follow up care were:
Very PoorPoorFairGoodVery Good

viii.The overall cleanliness/tidiness of the surgery was:
Very PoorPoorFairGoodVery Good

ix.The cost of treatment in relation to the services provided was:
Very PoorPoorFairGoodVery Good

x.Likelihood of me recommending Coburg Dental Group to others was
Very PoorPoorFairGoodVery Good

How long have you been a patient with the practice?

What did you love most about your visit at the practice?

What improvements would you make to your visit?

Do you have any other comments you wish to make?