Patient Feedback Survey

Dear Patient

Our Service - Your Opinion


The purpose of this survey is to find out what you think of the Medical Practice and the service we provide, so that we can offer you the best possible service.

You don't have to give your name so the survey is COMPLETELY ANONYMOUS and any information you provide will be treated in the STRICTEST CONFIDENCE.

Thank you for taking the time to complete this survey.

Patient Feedback Survey
How would you rate the following aspects of the waiting room
A list of things that patients regard as important in the service provided by the Medical Practice. Please rate these aspects of service.
All suggestions as to how we can improve your experience at the Medical Practice are always welcomed.

Privacy Protection

Information entered into survey forms is used only for the purposes of processing your survey information and is stored and accessed securely by designated staff.

Issues raised in comments may be discussed between relevant members of staff. The information is used for quality monitoring purposes, in line with the expectations of those submitting the feedback.

Any personal information transmitted via survey forms may be anonymised when this is required to ensure compliance with General Data Protection Regulation.

This information is not shared with any external third party organisations.

This information is retained for up to 28 days.

Learn more about our Privacy Policy and Terms of Use. Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.

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