Satisfaction Survey

In terms of your satisfaction, how would you rate each of the following?
(Please check one box for each question. If the question does not apply, tick 'NA'.)

	Very Satisifed	Satisifed	UnSatisifed	Very UnSatisifed	NA
The length of time you had to wait to get an appointment with the doctor you wanted
Helpfulness of reception staff when you phoned to make an appointment
Helpfulness of doctor when you phoned with a query
How you were greeted by reception staff when you arrived for your appointment
Length of time you waited before being seen for your appointment
The amount of time you spent with the doctor
How well the doctor listened to you
How well the doctor explained your treatment plan
The amount you paid for your consultation
Parking facilities
Overall experience

How can we improve the level of service and care we provide to you?

Thank you for taking the time to help us improve the service and care that you receive.