Patient Satisfaction Survey


Your reference number would have been given to you in an email. This is to ensure your anonymity.

If you were in the care of more than one of our staff members, please list in order of most frequently consulted.

Please rate your satisfaction with the following aspects of your visits:

Please answer the following questions regarding your interaction with your Psychologist or Psychiatrist (as indicated above):

Finally, we have some questions about our clinic in general.

Thank you for spending the time to complete this survey. We value your feedback.


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Personalising Mental Healthcare since 2001, using state-of-the-art neuromodulation to help children, adults and their families achieve lasting mental wellness.

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