Feedback Form

If you are a patient who has now fully completed your treatment with us please submit your feedback on-line using the form below.

Patient name
Email address
Dentist name
Number of implants placed
Please rate the following on a scale of 1 to 5 with 5 being excellent and 1 being poor
About The Network
Was your enquiry answered promptly?	1:   2:   3:   4:   5:
Was the network explained clearly to you?	1:   2:   3:   4:   5:
Were the staff friendly?	1:   2:   3:   4:   5:
About Your Booking
Were you offered an initial appointment promptly?	1:   2:   3:   4:   5:
Was the practice flexible with your appointments?	1:   2:   3:   4:   5:
About The Practice Access:
Easy to park?	Yes:   No:
Easy to access by public transport?	Yes:   No:
Was the practice clean and tidy?	1:   2:   3:   4:   5:
Did the practice offer a welcoming environment?	1:   2:   3:   4:   5:
About The Dentist
Did the dentist put you at ease / inspire confidence?	1:   2:   3:   4:   5:
Did the dentist explain the procedures?	1:   2:   3:   4:   5:
Was the dentist gentle and considerate?	1:   2:   3:   4:   5:
About The Staff
Were the staff friendly?	1:   2:   3:   4:   5:
Did they act professionally?	1:   2:   3:   4:   5:
Were they knowledgeable?	1:   2:   3:   4:   5:
About the Procedure
Did you get the result that you had hoped for?	1:   2:   3:   4:   5:
Did you find the process easy?	1:   2:   3:   4:   5:
Would you recommend the Implantium Network to others?	Yes:   No:
Any other comments