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info@108harleystreet.com
+44 (0) 207 563 1234

info@108harleystreet.com
+44 (0) 207 563 1234

Clinics
Health
For Patients
For Doctors

Clinics
Health
For Patients
For Doctors

Pay my Bill

Book an Appointment

Clinics
Health
For Patients
For Doctors
Pay my bill
Book an Appointment

Clinics
Health
For Patients
For Doctors
Pay my bill
Book an Appointment

Patient Questionnaire Form

108 Harley Street aims to provide a high standard of service and patient care. In order to assist with our on-going programme of quality control, we
welcome feedback from our patients.

Consultants

Consultants

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Was your appointment date and time at your request?

Excellent Good Unsatisfactory Poor

How would you rate the level of care provided by your consultant?

Excellent Good Unsatisfactory Poor

Was the information provided by your consultant helpful?

Excellent Good Unsatisfactory Poor

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Nursing

Nursing

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Were your results and queries explained to you in a friendly and professional manner?

Excellent Good Unsatisfactory Poor

How would you rate the care provided by your nurse?

Excellent Good Unsatisfactory Poor

Were the nurses helpful and easy to approach?

Excellent Good Unsatisfactory Poor

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Administration – Receptionist

Administration – Receptionist

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Was the member of staff booking your appointment professional and helpful?

Excellent Good Unsatisfactory Poor

Was the receptionist in the waiting area friendly and informative?

Excellent Good Unsatisfactory Poor

Was your follow-up appointment booked in a timely and efficient manner?

Excellent Good Unsatisfactory Poor

Were you well-informed about your surgery booking?

Excellent Good Unsatisfactory Poor

Was the member of staff at payment desk helpful and approachable?

Excellent Good Unsatisfactory Poor

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Accounts Department

Accounts Department

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Was the member of staff courteous and efficient?

Excellent Good Unsatisfactory Poor

Were you happy with the speed of your insurance claim?

Excellent Good Unsatisfactory Poor

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Typing Department

Typing Department

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Were you satisfied with the quality of your clinic letter?

Excellent Good Unsatisfactory Poor

Were you satisfied with the timeline of receiving your clinic letter?

Excellent Good Unsatisfactory Poor

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Facilities

Facilities

How would you rate the following in terms of cleanliness, appearance, room (space), lighting and comfort?

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Overall appearance of building

Excellent Good Unsatisfactory Poor

Waiting room

Excellent Good Unsatisfactory Poor

Changing facilities

Excellent Good Unsatisfactory Poor

Treatment room facilities

Excellent Good Unsatisfactory Poor

Any further comments

Any further comments:

Your comments

Name

Email

Account paid by:

Medical insurer Self paying Company Embassy

Other

Recommended by:

NHS GP Private GP Company Doctor Consultant Friend Existing Patient

Other

Official referral:

NHS GP Private GP Company Doctor Consultant Friend Existing Patient

Arrange an appointment with a consultant

Book an appointment

Clinics

Breast
Skin Clinic
Hernia & Gilmore’s Groin Clinic
Sports Injury Clinic
Gynaecology
Women’s Health
Rectal
X-Ray & Imaging
Day Surgery
Men’s Health
Prostate

Breast
Skin Clinic
Hernia & Gilmore’s Groin Clinic
Sports Injury Clinic
Gynaecology
Women’s Health
Rectal
X-Ray & Imaging
Day Surgery
Men’s Health
Prostate

Helpful Links

Health Info
About Us
Covid-19
Safeguarding
Complaints
Cancellation & Non-Attendance Policy
Fees & Payments
Privacy Policy
Contact

Health Info
About Us
Covid-19
Safeguarding
Complaints
Cancellation & Non-Attendance Policy
Fees & Payments
Privacy Policy
Contact

Monday – Thursday

8:00am – 19:00pm

Friday

8:00am – 17:30pm

Saturday – Sunday

Closed

X-Ray & Imaging Department
Monday – Friday

9:00am – 17:00pm

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Clinics

Breast
Skin Clinic
Hernia & Gilmore’s Groin Clinic
Sports Injury Clinic
Gynaecology
Women’s Health
Rectal
X-Ray & Imaging
Day Surgery
Men’s Health
Prostate

Breast
Skin Clinic
Hernia & Gilmore’s Groin Clinic
Sports Injury Clinic
Gynaecology
Women’s Health
Rectal
X-Ray & Imaging
Day Surgery
Men’s Health
Prostate

Helpful Links

Health Info
About Us
Covid-19
Safeguarding
Complaints
Cancellation & Non-Attendance Policy
Fees & Payments
Privacy Policy
Contact

Health Info
About Us
Covid-19
Safeguarding
Complaints
Cancellation & Non-Attendance Policy
Fees & Payments
Privacy Policy
Contact

© 2024 108 Harley Street

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