Which Clinic did you attend?
Was this the Clinic of your choice?
If it was not, which clinic would you have preferred to attend?
Thinking about your appointment in Clinic today:
Please rate your satisfaction with the way we offered you your appointment: I am
If you were not satisfied how could we make it better?
Please rate your satisfaction with the range of appointment days/ times available: I am
Thinking about the Dermatology team, please rate the following:
The courtesy shown to you by the reception staff:
The respect shown for your privacy and confidentiality:
How well the doctor or nurse listened to your concerns:
Please rate how well the doctor or nurse explained what could be done for your skin problem:
How would you rate any written information given to you by the doctor/ nurse?
If we have not met your expectation please tell us how the team could look after you better:
My overall satisfaction with this visit to the clinic:
Would you recommend this service to your family/ friends?
If you would not recommend this service please tell us how we could improve it:
Helping us to understand more about the patients and the community we serve:
The Dermatology Community Clinic is committed to equal access for all. Collecting information about your ethnic background enables us to have a better picture of any particular needs of our diverse patient community.
About Yourself (please tick the box that applies to you)
Are you?
What is your current age group?
What do you consider to be your ethnic background?
Thank you for taking the time to complete our survey.
The information you have provided will be treated in confidence
The comments that we have received will not be attributed to any individuals.
Any queries?
Please contact the Dermatology Service co-ordinator on 0207 740 8190