Patient Questionnaire

We at SA Benson Dental Surgery are continually striving to deliver the best service possible and we would be grateful if you could kindly spend a few minutes to fill out our questionnaire.

We welcome all feedback, good or bad, so please be honest, as this will help us to develop our policies to improve the services we can offer. You do not need to write your name at the end if you wish to remain anonymous.

Our Team

Question Your Experience
Upon arrival, were you greeted in a friendly manner and made to feel comfortable? PoorAcceptableExcellent
Were you treated professionally and with respect by our staff? PoorAcceptableExcellent
Did our team help you to relax? PoorAcceptableExcellent

Quality of Care

Question Your Experience
Were you satisfied with the dental treatment you received? PoorAcceptableExcellent
Did the dentist take the time to listen to and understand your concerns? PoorAcceptableExcellent
Did the dentist take the time to adequately explain your treatment options and answer your questions? PoorAcceptableExcellent
Did you feel that you understood your treatment plan and all of your questions were answered to your satisfaction? PoorAcceptableExcellent
Was the Dental Nurse professional, smart, friendly and supportive? PoorAcceptableExcellent
Did you feel the cost of treatment was fully explained, as well as methods of payment? PoorAcceptableExcellent

Our Practice

Question Your Experience
Did we answer your call quickly and arrange your appointment within a reasonable amount of time at a time to suit yourself? PoorAcceptableExcellent
Were our team courteous and knowledgeable on the telephone? PoorAcceptableExcellent
Was the practice clean, tidy and welcoming? PoorAcceptableExcellent
Were you seen within 15 minutes of your appointment time? PoorAcceptableExcellent
Are there enough useful patient information leaflets and posters in the waiting room? PoorAcceptableExcellent

General Questions

How would you rate the overall quality of service you received at SA Benson Dental Surgery:

Very DissatisfiedDissatisfiedNeutralSatisfiedVery Satisfied

We would like you to think about your recent experiences of our service. How likely are you to recommend our dental practice to friends and family if they
needed similar care or treatment?

Highly UnlikelyUnlikelyNeither likely nor unlikelyLikelyHighly LikelyDon't Know

In an effort for the Practice to become paperless we are now sending appointment reminders by text message and/or emails only. Is this method of communication convenient for you? YesNo

Additional Details

Thank you for your time please press Submit

Data Protection Statement: All information received from this questionnaire will be held in accordance with the Data Protection Act 1998. By completing and returning this questionnaire I consent to it being used for audit, training and marketing purposes. No names will be attached to the testimonials to protect patients’ confidentiality. If you have any concerns regarding this please contact a member of staff.