* 1. How would you rate the courtesy of the staff at the reception desk?

* 2. How long did you wait in the reception area beyond your scheduled appointment time?

* 3. Mark the boxes that characterise the demeanour of your clinician:

  Attentive Concerned Friendly Distracted Rushed Inconsiderate
Dr Morgan Wishney
Dr Eben Lourens
Dr In Hee Choi
Dr Timothy O'Çonnell-Maritz
Ms Lauren Oldham
Dr Richard Allen

* 4. Please rate the clarity of the clinician's explanation of your condition treatment options

* 5. Were your questions answered to your satisfaction?

* 6. Did you think our fee's were reasonable?

* 7. How would you rate the facility? (appearance, comfort and atmosphere)

* 8. Would you recommend this facility and its staff to your family and friends?

* 9. Additional comments: (Please share any additional comments or suggestions. If you would like to be contacted regarding your responses please fill out the contact details below and comment in the box saying you want us to contact you)

* 10. Providing the following information is optional: