Patient Feedback
Consultation Feedback Form
Your feedback helps us improve our service. Please take a moment to answer these short questions after your consultation.
Consultation Feedback Form
Thank you for attending your menopause consultation today. Your feedback helps us to improve our service and patient experience. Please take a moment to answer these short questions.
For each question, please select the number that best reflects your experience:
1 = Strongly disagree 2 = Disagree 3 = Neutral 4 = Agree 5 = Strongly agree
1 = Strongly disagree 2 = Disagree 3 = Neutral 4 = Agree 5 = Strongly agree
✓ Thank you for your feedback. Your responses have been submitted.
1. About the Consultation
Was the purpose of your consultation clearly explained to you?
Did you feel you had enough time to discuss your symptoms and concerns?
Were your questions answered in a way that you understood?
2. About the Environment
Was the consultation room comfortable and private?
Did you feel the clinic was welcoming and professional?
Were you satisfied with the waiting time and overall flow of your appointment?
3. About the Clinician
Did you feel listened to and treated with respect?
Did the clinician show understanding of menopause-related issues?
Do you feel confident in the advice or plan you were given?
4. Additional Comments
Please use the space below to share any additional comments or suggestions:
Want to book another consultation or have a question?