Healthwatch Stockton-on-Tees are working in partnership with Stockton United For Change(SUFC) and Daisy Chain to have your voices heard regarding dental service provision you access either for yourself, a family member or someone you care for. This information will be collated and form the basis of a proposed work plan which will target services you tell us need improving. The information gathered is anonymised and we value any views and experiences you have of health and social care services, we have included space at the end of the survey for you to share any additional information that you would like to provide.
Who are you completing this survey on behalf of?

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* 1. Who are you completing this survey on behalf of?

Is the individual concerned registered with a local dental service?

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* 2. Is the individual concerned registered with a local dental service?

Please state the name of the dental practice below 

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* 3. Please state the name of the dental practice below 

Please state the address and/or postcode of dental practice below

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* 4. Please state the address and/or postcode of dental practice below

How easy is it to make an appointment at this dentist?

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* 5. How easy is it to make an appointment at this dentist?

When you visit the dentist do you feel all patient needs are considered?

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* 6. When you visit the dentist do you feel all patient needs are considered?

Do you ask to see a preferred dentist?

(If you answered no, please skip the next question)

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* 7. Do you ask to see a preferred dentist?

(If you answered no, please skip the next question)

Are the preferences for the preferred dentist met?

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* 8. Are the preferences for the preferred dentist met?

Do you have any suggestions for how visits to this dentist could be improved?

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* 9. Do you have any suggestions for how visits to this dentist could be improved?

We welcome your feedback on any other publicly funded health and social care services you have accessed, such as your GP practice, hospital, care home, pharmacy or social services etc. 

(*Please also give us the name of the provider if sharing your views e.g. Elm Tree Surgery/North Tees Hospital/Stockton Social Services)

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* 10. We welcome your feedback on any other publicly funded health and social care services you have accessed, such as your GP practice, hospital, care home, pharmacy or social services etc. 

(*Please also give us the name of the provider if sharing your views e.g. Elm Tree Surgery/North Tees Hospital/Stockton Social Services)

If you would like any further information regarding the services involved in this survey, please find the contact details for each service below:

Healthwatch Stockton-on-Tees
Address: Catalyst House, 27 Yarm Road, Stockton-on-Tees, TS18 3NJ
Telephone: 01642 688312
Email: healthwatchstockton@pcp.uk.net
Website: www.healthwatchstocktonontees.co.uk

Stockton United For Change (SUFC)

Address: c/o Newtown Community Resource Centre, Durham Road, Stockton-On-Tees, TS19 0DE 
Telephone: 07935 447375
Email: info@stocktonunitedforchange.co.uk
Website: http://www.stocktonunitedforchange.co.uk


Daisy Chain
Address: Calf Fallow Farm, Calf Fallow Lane, Norton, Stockton-On-Tees, TS20 1PF
Telephone: 01642 531248
Email: info@daisychainproject.co.uk
Website: http://www.daisychainproject.co.uk 
If you would like to receive updates regarding this survey, please specify your preferred method of contact and provide contact details below:
If you would like to receive updates regarding this survey, please specify your preferred method of contact and provide contact details below:

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* 11. If you would like to receive updates regarding this survey, please specify your preferred method of contact and provide contact details below:

Please provide address and email address details below:

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* 12. Please provide address and email address details below:

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