The Dr Terry Clinic – How Are We Doing?

As part of our commitment to client service and care, we would like to invite you to give us your feedback on your time with Dr Terry and the team. Your response is strictly confidential and anonymous and will be used to improve our processes where necessary.

    How did you hear about Dr Terry?

    Online searchReferralEventMagazineSocial MediaYoutubeWalk In

    Which type of treatment did you have?

    Skin Advice (i.e. products) for scars, acne, larger pores, pigmentation, dehydration, lines and wrinkles and sun damage.Skin Treatments - MesotherapySkin Treatments - MicroneedlingSkin Treatments - Skin PeelsSkin Treatments - Medical FacialsHormonal Acne Program - including investigations, prescriptions and supplements.Hormonal Balance ProgramCosmetic Treatments - Muscle RelaxantCosmetic Treatments - Dermal FillersCosmetic Treatments - PRPCosmetic Treatments - Thread LiftingCosmetic Treatment - Excessive SweatingVitamin Infusion

    Were you happy with the level of service and results from your treatment?

    Yes to both service and resultsYes to service, no to resultsYes to results, no to service

    If you wish to address the testimonial to a specific team member? Tick as many as necessary:-

    Dr Terry (Medical Director)Pam Cushing (Associate Nurse Prescriber)Minal Raichura (Clinical Therapist)Amelia Dodwell (Secretary)Aesthetic Response (Call Centre)Everyone on the Team (we're glad you think so too!)

    Would you recommend Dr Terry and her team?

    YesNo

    Personal recommendations are important to our team and business. If you are happy to recommend us, we'd be most grateful if you could please provide a short testimonial below:-

    Is there anything we could do to improve your time with us?

    We may use your testimonial for marketing purposes (e.g. on our website page), however we do understand if some of our patients want to keep us as a secret. Please tick what resonates best with you.

    I don't mind sharing but please just put my initials down.I don't mind sharing but please just put my first name down.I would rather keep you as my secret so please don't share anything.

    This survey is strictly confidential, however if you would like to leave your name (so we can thank you personally or contact you with regards to any service issues highlighted within this survey), you can do so below.

    Best contact number or email address if we need to

    Please tick the boxes below that apply to you:

    MaleFemaleAge: 18-24Age: 25-29Age: 30-39Age: 40-49Age: 50-59Age: 60+