Capalaba
3245 5511
Victoria Point
3820 7777
Capalaba
3245 5511
Victoria Point
3820 7777
Home
Services
General Dentistry
Children’s Dentistry
Preventive Dentistry
Sports Mouthguards
Restorative Dentistry
Dentures
Root Canal Therapy
Dental Fillings
Dental Implants
Crowns & Bridges
Inlay & Onlays
Cosmetic Dentistry
Veneers
Teeth Whitening
Orthodontics
Invisalign Treatment
Emergency Dental
About Us
Our Story
Meet The Team
Payment plans
Blog
Ask a Dentist
Common Qs
How often should I change my toothbrush?
Why should I straighten my teeth?
Why do I have bad breath?
Treatment Qs
What is a dental bridge?
What is better dental crown or veneer?
What is cosmetic dentistry?
What teeth whitening treatment do you offer
What are my options for missing teeth?
Pain, Fear and Other Qs
My wisdom teeth are causing me pain: do I have to do anything?
Are you afraid of the dentist?
Areas We Serve
Alexandra Hills
Birkdale
Capalaba
Cleveland
Sheldon
Thornlands
Victoria Point
Wellington Point
Contact Us
Home
Services
General Dentistry
Children’s Dentistry
Preventive Dentistry
Sports Mouthguards
Restorative Dentistry
Dentures
Root Canal Therapy
Dental Fillings
Dental Implants
Crowns & Bridges
Inlay & Onlays
Cosmetic Dentistry
Veneers
Teeth Whitening
Orthodontics
Invisalign Treatment
Emergency Dental
About Us
Our Story
Meet The Team
Payment plans
Blog
Ask a Dentist
Common Qs
How often should I change my toothbrush?
Why should I straighten my teeth?
Why do I have bad breath?
Treatment Qs
What is a dental bridge?
What is better dental crown or veneer?
What is cosmetic dentistry?
What teeth whitening treatment do you offer
What are my options for missing teeth?
Pain, Fear and Other Qs
My wisdom teeth are causing me pain: do I have to do anything?
Are you afraid of the dentist?
Areas We Serve
Alexandra Hills
Birkdale
Capalaba
Cleveland
Sheldon
Thornlands
Victoria Point
Wellington Point
Contact Us
Request Appointment
Patient Feedback
Patient Feedback Form
Was this your first visit?
*
Yes
No
Which Dentist did you see?
*
- Please select -
Dr. Carol Au
Dr. Deepak Parwani
Dr. Deepti Parwani
Dr. Emily Chen
Dr. Grace Sha
Dr. Jasyn Randall
Dr. Joon Park
Dr. Ryan Goh
Dr. Sue Oh
Dr. Tatiana Souza
How would you rate the service when you telephoned or walked in to make your appointment?
1 - Poor
2
3
4
5 - Excellent
How would you rate the courtesy of the staff at the reception desk?
1 - Poor
2
3
4
5 - Excellent
How long did you wait in the reception area beyond your scheduled appointment time?
0-5 mins
5-10 mins
10-20 mins
Other
Other
Mark the boxes that characterise the demeanour of your Dentist:
Attentive
Concerned
Friendly
Distracted
Rushed
Inconsiderate
Other
Other
Please rate the clarity of the clinician’s explanation of your condition and treatment options
1 - Poor
2
3
4
5 - Excellent
Would you refer your family and friends to the practice?
*
Yes
No
Do you have any other comments you would like to make or suggestions for improvement?
Would you like someone to contact you regarding your responses on this survey?
Yes
No
Name
*
Email
*
Contact Number
*
Email
This field is for validation purposes and should be left unchanged.
This iframe contains the logic required to handle Ajax powered Gravity Forms.
Want to find out which cosmetic treatment is best suited for you? Download your FREE guide to cosmetic dentistry for more information!
×
Free Cosmetic Dentistry Guide!
Get Your Guide
X
First Name
*
Last Name
*
Email Address
*
Phone Number
*
This iframe contains the logic required to handle Ajax powered Gravity Forms.