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We moved to: 58 Station Road, Unit 8 Churchill Court, North Harrow HA2 7SA
01895 630 604
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Sebaceous Cyst Removal
Dermatosis Papulosa Nigra
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Laser Hair Removal
IPL Hair Removal
Pigment Removal with IPL
Skin Rejuvenation With Pixel Laser
Tattoo Removal
Venous Lake Treatment
Spider Naevi Treatment
Fibrous Papule Removal Treatment
Dermatofibroma Removal Treatment
Minor Aesthetic
Wrinkle Relaxing Injections
Dermal Fillers
Sunekos
Profhilo®
Microneedling
Scar Revision
Hyperhidrosis
Microdermabrasion
Polynucleotide Treatments
Skin Tightening (Radiofrequency)
Sclerotherapy
Skin Care
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Anti Ageing and Pigmentation
Aesthetic Harrow
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Keratosis Pilaris
Lines and wrinkles
Skin Care for younger skin
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Laser Skin Tag Removal in Harrow
Advanced Laser Hair Removal Ealing | Harrow & London Clinic
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Office Hours: Mon - Sat: 9am - 7pm
We moved to: 58 Station Road, Unit 8 Churchill Court, North Harrow HA2 7SA
01895 630 604
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Are you filling this form for:
Yourself
Your Child
Your Spouse or Partner
Another relative or friend
Which of the following best describes the reason you saw the doctor today?
Please check all the boxes that apply.
To ask for advice
Because of a one-off problem
Because of an ongoing problem
For a routine check
For treatment (inc prescription)
Other (please give details)
On a scale of 1 to 5, how important to your health and wellbeing was your reason for visiting the doctor today?
1
2
3
4
5
How good was your doctor today at each of the following:
Being Polite
Poor
Good
Satisfactory
Very Good
Less than satisfactory
Does Not Apply
Making you feel at ease
Poor
Good
Satisfactory
Very Good
Less than satisfactory
Does Not Apply
Listening to you
Poor
Good
Satisfactory
Very Good
Less than satisfactory
Does Not Apply
Assessing your medical condition
Poor
Good
Satisfactory
Very Good
Less than satisfactory
Does Not Apply
Explaining your medical condition
Poor
Good
Satisfactory
Very Good
Less than satisfactory
Does Not Apply
Involving you in decision about your treatment
Poor
Good
Satisfactory
Very Good
Less than satisfactory
Does Not Apply
Providing or arranging treatment for you
Poor
Good
Satisfactory
Very Good
Less than satisfactory
Does Not Apply
Please decide how strongly you agree with the following statement by ticking one box each line
The doctor keep information about me confidential
Agree
Strongly agree
Neutral
Disagree
Strongly disagree
Does not apply
The doctor is honest and trsutworthy
Agree
Strongly agree
Neutral
Disagree
Strongly disagree
Does not apply
I am confident about this doctor's ability to provide care
YES
NO
I would be completely happy to see this doctor again
YES
NO
Was this visit with your usual doctor?
YES
NO
Clinic - Comments
The next questions will provide the doctor some basic information about who took part in the survey.
Are you
Female
Male
Age
Under 15
21-40
60 or over
15-20
40-60
What is your ethnic group?
Please choose one section and than tick the appropriate box o indicate your cultural background.
What is your ethnic group?
White - British
White - Irish
White - Any other white background
Mixed - White and black Caribbean
Mixed - White and black African
Mixed - White and Asian
Mixed - Any other mixed background
Asian - Indian
Asian - Pakistani
Asian - Bangladeshi
Asian - Any other Asian background
Black - Caribbean
Black - African
Black - Any other Black background
Chinese
Any other Chinese Background
CAPTCHA
Comment by the clinic in behalf of Perfect Image Consultants
01895 630 604
Book Appointment
Home
About Us
Laser Treatments
Laser Removal
Cyst Removal via Laser
Mole Removal
Skin Tag Removal
Wart Removal – Common – by Laser
Verruca Removal
Seborrhoeic Wart Removal
Genital Wart Removal
Sebaceous Cyst Removal
Dermatosis Papulosa Nigra
Red Vein Removal
Lipoma Removal
Laser Treatments
Laser Hair Removal
IPL Hair Removal
Pigment Removal with IPL
Skin Rejuvenation With Pixel Laser
Tattoo Removal
Venous Lake Treatment
Spider Naevi Treatment
Fibrous Papule Removal Treatment
Dermatofibroma Removal Treatment
Minor Aesthetic
Wrinkle Relaxing Injections
Dermal Fillers
Sunekos
Profhilo®
Microneedling
Scar Revision
Hyperhidrosis
Microdermabrasion
Polynucleotide Treatments
Skin Tightening (Radiofrequency)
Sclerotherapy
Skin Care
Acne and Blemishes
Anti Ageing and Pigmentation
Aesthetic Harrow
Dry Skin Daily Care
Keratosis Pilaris
Lines and wrinkles
Skin Care for younger skin
Before and After Pictures
Useful Links
Feedback
Write a review
Testimonials
Regional Services
Laser Skin Tag Removal in Harrow
Advanced Laser Hair Removal Ealing | Harrow & London Clinic
Price List
News
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