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)

    Your Phone Number (for future contact purposes for monthly feedback draw prize)

    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?