Client Feedback Survey

Your feedback is valuable to assist us to provide the best service to our clients. If you have attended the clinic in past we would appreciate it if you take a few moments to complete this form and provide us with any feedback you may have; positive, constructive or negative. Whatever it may be, it is greatly appreciated.

Your Age:

Postcode:

Are you a new or repeat client?

M Clinic Advertising

Where have you heard about the M Clinic or seen it advertised? (please select all that apply)



If you answered Other above please specify:

Overall Experience

Length of visit
 Highly Satisfactory Satisfactory Neutral Unsatisfactory Highly Unsatisfactory

Quality of staff
 Highly Satisfactory Satisfactory Neutral Unsatisfactory Highly Unsatisfactory

Information provided about testing/STIs
 Highly Satisfactory Satisfactory Neutral Unsatisfactory Highly Unsatisfactory

Waiting time
 Highly Satisfactory Satisfactory Neutral Unsatisfactory Highly Unsatisfactory

M Clinic Overall

Location of the clinic
 Highly Satisfactory Satisfactory Neutral Unsatisfactory Highly Unsatisfactory

Parking at the clinic
 Highly Satisfactory Satisfactory Neutral Unsatisfactory Highly Unsatisfactory

Accessibility to the clinic
 Highly Satisfactory Satisfactory Neutral Unsatisfactory Highly Unsatisfactory

Availability of appointments
 Highly Satisfactory Satisfactory Neutral Unsatisfactory Highly Unsatisfactory

Confidentiality
 Highly Satisfactory Satisfactory Neutral Unsatisfactory Highly Unsatisfactory

Open hours
 Highly Satisfactory Satisfactory Neutral Unsatisfactory Highly Unsatisfactory

What did you like about the service?

What do you think needs to be improved?

Anything else you would like to tell us?

Do you give us permission to use your comments as a testimonial?  Yes No

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