Feedback Form

Treatment feedback

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Contact details

First name:
Surname:
Phone No:

Customer feedback

Treatment Received:
0 /

Please rate the following out 5, where 1 is poor and 5 is exceptional:

Customer service:
Quality of treatment:
Clinic environment:
Overall experience:

Would you recommend Dental Health Spa to a friend?

Additional comments:
0 /
Where did you hear about us?:
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