AdminPatientConnections Feedback Form - Draft example

STEP 1 (The Practice)  »  STEP 2 (The Staff)  » STEP 3 (The Dentist/Clinician)
1- Please rank the following aspects of the service? (1 Poor) – (5 Excellent)
Are the general areas clean
Is the practice comfortable
Is there a friendly atmosphere
Is there sufficient literature/entertainment whilst you wait
Is there sufficient information about products and services
Are necessary sundry/health-care items available
2- How would you rate the practice? (1 Poor) – (5 Excellent)