London Claremont Clinic aim to provide the very highest standard of care for our patients .
We are always looking to make improvements and value and welcome your feedback to enable us to continually strive to be better .

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* 1. We will ensure your comments are dealt with in the strictest of confidence. If you would like us to reply to your comments please add your contact details.
(name and phone number /email / address)

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* 2. Personal details .

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* 3. What is your age ?

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* 4. Date of appointment

Date

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* 5. Why did you visit the clinic ? (please tick one or more )

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* 6. How would you rate the ease of booking your appointment(s)?

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* 7. How would you rate your greeting on arrival ?

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* 8. How would you rate the toilet facilities?

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* 9. How would you rate the comfort of the waiting area?

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* 10. How would you rate the overall cleanliness of the clinic?

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* 11. How would you rate your consultation and the explanations given ?

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* 12. How would you rate your procedure and the explanations given ?

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* 13. How would you rate the level of dignity and respect you received ?

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* 14. How would you rate the professionalism and competence of the receptionists /secretaries ?

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* 15. How would you rate the professionalism and competence of the clinical team?
(nurses,HCAs,ophthalmic technicians)

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