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Minor procedures feedback

Minor Procedures Feedback Survey

Please tell us who performed your procedure: *

Procedure and Date

Please choose the type of surgery or procedure that you have had with our service: *

Satisfaction of the Procedure on the Day

Please rate your satisfaction with the following:
Convenience of Appointment:
Consent Process and opportunity to ask questions:
Facilities & Hygiene:
Care given by clinician and/or operating assistant:
Post-procedural advice:
Post procedural follow up appointment (if applicable):

Satisfaction After, and Presence of Complications

How satisfied are you with the effect of treatment for the presented problem?
Please rate any potential complications from the procedure:
Post procedure pain:
Bleeding or bruising:
Scarring:
Post procedure wound infection:
Recurrence of initial problem:

Improving our Service