Feedback To ensure we provide the best service possible we really value your feedback, if you wouldn’t mind taking a couple of minutes to fill our feedback form regarding your visit. Please enable JavaScript in your browser to complete this form.Name *FirstLastDate of appointment Name of the doctor or clinical physiologist Dr Khalid MujahidDr Saqib GhaniDr Abdul MalikDr Rexford MuzaDr Adam BatainehSylvia SadiqTony TippersIf you had a Consultation, did you have any tests/additional procedures whilst in the clinicYesNoIf yes, please state type of tests or package At your visit were you referred for further scans/tests/additional procedures whilst in the clinicYesNoIf yes, please state type of treatmentWere you seen on time and if not, were you kept advised of the delay?YesNoPlease rate the friendliness/courtesy of the staff Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5Were you treated as an important patientRate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5Did the staff answer your questions or concerns to your satisfaction Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5Were you given satisfactory explanation of any procedure or treatment given Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5How well did the staff work together to care for you Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5How did you find the cleanliness of the clinic Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5How pleased were you with your experience Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5Would you use our services again YesNoWould you recommend our clinic to a colleague, family or friend?YesNoWhat could we have done better Please leave a review on your experienceCan this feedback be used for marketing purposes? *Yes, alongside my nameYes, without my nameNo, do not use this feedbackSubmit
