It is only by listening to what our patients tell us that we can improve the service we deliver. Please take a moment to fill in our questionnaire and tell us what you think about our practice. Thank you. Q1. Is our practice clean and tidy when you visit? Sometimes   1 2 3 4 5 Always Q2. Do we greet you with a smile and make you feel welcome? Rarely 1 2 3 4 5 Always Q3. Do we keep you waiting too long? Never 1 2 3 4 5 Always Q4. Does your dentist always listen carefully to your problems? Rarely 1 2 3 4 5 Always Q5. Does your dentist always answer your questions fully so that you understand Rarely 1 2 3 4 5 Always Q6. Are our nurses helpful and considerate? Rarely 1 2 3 4 5 Always Q7. Is your dental treatment painful? Never 1 2 3 4 5 Always Q8. Are our fees higher or lower than you expected? Lower 1 2 3 4 5 Higher Q9. What do you like best from our practice? Q0. What do you like least about our practice? Q11. Is there anything we can do better? Q12. Who are your dentist and hygienist?

Hook Dental, Stanley House, London Road, Hook, Hampshire, RG27 9GA tel: 01256 762353 fax: 01256 767155 info@hookdental.com © Copyright Hook Dental 2005-2009 All rights reserved.