Patient Feedback "*" indicates required fields Are you a new patient to Smilefocus?YesNoHow did you hear about Smilefocus? Word of mouth Magazines Google search Lifestyle Media (Websites/blogs) Social Media My Child’s school Insurance Provider Other How would you rate the reception you were given when first arrived?ExcellentGreatNormalBelow averageWas your waiting time acceptable?YesSomewhatNoWhich dentist did you see?How well do you think the dentist listened and understood your needs?ExcellentGreatNormalBelow averageHow clearly was the treatment plan explained to you?ExcellentGreatNormalBelow averageHow well did the dentist and the dental assistant work together as a team?ExcellentGreatNormalBelow averageHow was your actual treatment experience?ExcellentGreatNormalBelow averageIf you wish, kindly add any detail from your experience at the Clinic that you wish to share with us as a personal feedback.How likely is it that you would recommend Smilefocus to a friend or colleague?012345678910Would you like us to reach out to you in relation to your feedback? (Sharing your contact details would help us address your concerns more specifically).*YesNoName Email Address