Dear Ms ((Name))
Thank you for taking the time to answer a few questions about your treatment at Smoothline.
To give your rating please click on the relevant number of stars.
poor
unsatisfactory
satisfactory
good
excellent
1. How were you welcomed and looked after by the staff during your visit?
2. What about the waiting times during your stay?
3. Did the doctor give you enough time? Were your questions answered to your satisfaction, and were the medical procedures and the treatment adequately explained to you?
4. How satisfied were you with the doctor's recommended treatment?
5. Did the treatment involve any discomfort (e.g. pain)? (1 star = considerable discomfort, 5 stars = no discomfort).
6. How satisfied are you with the result of your treatment?
7. How satisfied are you overall with your visit to Smoothline?
What I liked:
What could be improved:
On a scale of 0 to 10: How likely is it that you would recommend Smoothline to others?
Do you wish to take part in this survey anonymously, or may we keep your name on file so that we can respond to your feedback on your next visit? (This survey will only be used internally.)
(___) You may keep my name on file
(___) I would rather take part anonymously
