Survey Form

Please complete the following six questions by placing a check-mark in the appropriate box, or typing your reply, then press the button marked "Submit".

1. How did you find out about Lurgaboy Lodge?

local press posters flyer (Royal Mail) sign on practice website word of mouth Select One

2. How would you rate your satisfaction with the following?

Speed of your call being answered: very good good average poor very poor

Ease of finding the centre: very good good average poor very poor

Helpfulness of the course facilitor/first point of contact: very good good average poor very poor

Guest facilities: very good good average poor very poor

Speed if response to queries(were you kept waiting long?): very good good average poor very poor

Welcome received from staff: very good good average poor very poor

Explanation of your course, price list etc: very good good average poor very poor

Helpfulness of assistant staff: very good good average poor very poor

Professionalism of staff and approach: very good good average poor very poor

Information provided about payment: very good good average poor very poor

3. Please add here any comments or suggestions you may have as to how the service provided at Lurgaboy Lodge could be improved:

4. Please rate your overall satisfaction with the service provided:

very good good average poor very poor

5. Would you recommend us to your collegues, family and friends?

Yes No

If no, please state why?

6. Name and address details are optional, but if you would like feedback from us, please print your details below.

(Feel free to read our privacy statement here)

Title: Mr. Mrs. Miss. Dr. Other Surname:

First name:

Email:

Your address:

Postcode:

Thank you for taking the time to complete this questionnaire.