Feedback Form Feedback The information available to me (e.g. leaflets in reception) covers all that I need to know about using the practice's services and looking after my dental care. * Strongly Agree Agree Neither agree nor disagree Disagree Strongly disagree I'm usually able to book appointments at times that suit me. * Strongly Agree Agree Neither agree nor disagree Disagree Strongly disagree When I have to pay for services, I believe the practice provides fair value for money. * Strongly Agree Agree Neither agree nor disagree Disagree Strongly disagree It's easy for me to enter and move around the building. * Strongly Agree Agree Neither agree nor disagree Disagree Strongly disagree The reception, treatment room and other parts of the practice are always clean, comfortable and tidy. * Strongly Agree Agree Neither agree nor disagree Disagree Strongly disagree Whenever I want to talk about anything privately, I am able to do so in a quiet area. * Strongly Agree Agree Neither agree nor disagree Disagree Strongly disagree I always feel well treated when I call to make an appointment or visit. * Strongly Agree Agree Neither agree nor disagree Disagree Strongly disagree I have confidence in the knowledge and abilities of the dentists, hygienists and others invloved in providing my dental care. * Strongly Agree Agree Neither agree nor disagree Disagree Strongly disagree I'm always treated with dignity, gentleness and care by the dentist and others. * Strongly Agree Agree Neither agree nor disagree Disagree Strongly disagree My opinion is always taken into account when my treatment options are being discussed and agreed. * Strongly Agree Agree Neither agree nor disagree Disagree Strongly disagree I would recommend this dental practice to friends and family if they needed similar care or treatment. * Strongly Agree Agree Neither agree nor disagree Disagree Strongly disagree Please leave any additional comments/suggestions: *