Patient Feedback Form

The Skin Health Institute is continuously striving to improve the services that we provide, and we truly value your feedback.
We would be greatly appreciate if you could take the time to complete the brief patient feedback form below.
Your feedback will remain anonymous unless you provide your contact details for the Customer Service Manager to follow up with you.

Question Title

* 1. Did you have any issues arranging an appointment?

Yes

If yes, please describe the issues you experienced

Question Title

* 2. How long did you have to wait (beyond your appointment time) to be seen by a consultant?

0-15 minutes

15-30 minutes

30-45 minutes

45-60 minutes

Over 1 hour

I didn't have to wait

Question Title

* 3. Doctor visited

Question Title

* 4. How would you rate the care you received while attending the clinic/procedure?

Excellent

Good

Satisfactory

Poor

Very poor

Question Title

* 5. How well did the doctors, nurses and other healthcare professionals explain things to you in a way you could understand?

Very easy to understand

Easy to understand

Satisfactory

Difficult to understand

Very difficult to understand

Question Title

* 6. How clean was the waiting area, clinic or theatre that you were in?

Excellent

Good

Satisfactory

Poor

Very poor

Question Title

* 7. Were you provided with clear upfront information about any fees that you might receive for treatment at the Skin Health Institute?

Yes

If NO, please describe your concerns below

Question Title

* 8. Do you have any other feedback or suggestions that would help us improve our services?

Question Title

* 9. How likely are you to recommend us to your family and friends?

Very likely

Likely

Neither likely nor unlikely

Unlikely

Very unlikely

Question Title

* 10. Please leave your contact details below if you would like us to get in touch with you to discuss your feedback further

Name

Email Address

Phone Number

As we continue to build awareness of the Skin Health Institute, we would love to be able to share your experience with others.

We would really appreciate it if you could take a few minutes to post a positive Google review of your experience on the Skin Health Institute Google page.

Click the link below to leave a positive review
Skin Health Institute Google