Feedback Form - Dr Bec Cooksey | Paediatric Urologist

Name

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Patient's Name

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Last

Email

*Please provide us with an email to allow our rooms to follow up with.

Which doctor did you make an appointment with?

Was it easy to make your child's appointment?

Were you given an appointment date within a reasonable timeframe?

child's an Were

Were you given options to make a convenient appointment to suit your schedule?

Did you receive a reminder of your child's appointment via text messaging?

Was the secretary you spoke with on the telephone polite and helpful?

Were you given clear information regarding your child's appointment location and time?

Were the office personnel courteous and helpful?

Were you seen on time for your appointment?

If not running on time, were you given a reason for the delay?

Did you find the doctor to be professional and courteous?

Did you find the doctor to be considerate and sensitive to your child's needs?

Did the doctor cleary explain your child's treatment options to you?

Did the doctor answer your questions to your satisfaction?

If your child required surgery, was the surgery booking given within a reasonable timeframe?

Was the information you were given for the surgery booking to your satisfaction?

Were you given adequate information for surgical and financial consent?

Would you be happy to recommend the doctor you saw?

How would you rate your experience at our clinic?

If you have any suggestions on how we can improve our services please leave us a message.

*We value and welcome your feedback.