[email protected]
Tel: 020 7580 2551
/
1828
Home
Our Team
Graham Bailey
Jack M Mirza
Duncan Edworthy
Neel Patel
Lochana Nanayakkara
Fiona S Ryan
Treatments
Information
Fees
Referring Dentists
Contact Us
Give Feedback
Blog
Feedback & Complaints
Please email us at
[email protected]
or use the online form below.
Fields in (
*
) are required.
Full Name
*
Email Address
*
Your visit was on
Date Format: DD slash MM slash YYYY
Overall rating for this dentist
I would recommend this practice to friends or family.
I would not recommend this practice.
How satisfied were you with the time you had to wait for an appointment?
does not apply
Very satisfied
Fairly satisfied
Neither satisfied nor dissatisfied
Fairly dissatisfied
Very dissatisfied
Were you treated with dignity and respect by staff at the practice?
does not apply
At all times
Mostly
Sometimes
Rarely
Never
How satisfied were you that the dental practice involved you in decisions about your care?
does not apply
Very satisfied
Fairly satisfied
Neither satisfied nor dissatisfied
Fairly dissatisfied
Very dissatisfied
How satisfied were you with the information given by the practice on the cost of your treatment?
does not apply
Very satisfied
Fairly satisfied
Neither satisfied nor dissatisfied
Fairly dissatisfied
Very dissatisfied
How satisfied were you with the outcome of your treatment?
does not apply
Very satisfied
Fairly satisfied
Neither satisfied nor dissatisfied
Fairly dissatisfied
Very dissatisfied
What I liked
What could have been improved
Any other comments
Please summarise your overall experience in a single sentence
I consent to my personal data being collected and stored as per the Privacy Policy.
*
Yes
I consent to my personal data being collected and stored for the purpose of marketing communications.
Yes
CAPTCHA
Home
Our Team
Treatments
Information
Fees
Referring Dentists
Complaints Procedure
Privacy Policy
Contact Us