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Fairfield Central Shopping Centre, T29, 2-30 Lakeside Drive, Idalia, 4811.
Patient’s Feedback Form / Home

Patient’s Feedback Form

Patient’s Feedback Form

As a health care provider, we are always striving to improve the quality and standards of the care that we provide to our patients.

To assist us in this process, we are carrying out a patient satisfaction survey.

We appreciate your feedback. It will help us to improve the quality of the care we can deliver and also make your dental treatment experience as comfortable as we can.

Please tick the box you most agree with to help us in completing our survey.
































Your Contact Detail (Optional)

How Did You Hear About Us?* (Please Tick Whichever Applies)

A. BEFORE YOUR APPOINTMENT

B. YOUR DENTAL CENTRE

C. OUR TEAM AT THE FRONT DESK

D. YOUR DENTAL TREATMENT

E. OUR TEAM OF DENTAL ASSISTANTS

F. AFTER YOUR APPOINTMENT

G. YOUR OVERALL EXPERIENCE AT THE DENTAL CENTRE

Which Dentist Did You See?*

Would You Recommend The Dentist To Others*

Please Tell Us Why/Why Not:

How Can We Improve The Standards Of Care That We Can Delivery To You?

Would You Like To Recommend Any Of Our Team Members? Please Tell Us Why:

*Fields Are Mandatory

Trading hours

  • MON TO THURS
    8 AM - 7 PM
  • FRIDAY
    8 AM - 5 PM
  • SATURDAY
    8 AM - 2 PM
  • SUNDAY
    BY APPOINTMENTS ONLY
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Fairfield Central Shopping Centre, T29, 2-30 Lakeside Drive, Idalia, 4811

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