Casebrook Surgery is always striving to improve our services. If you wish to provide feedback please fill out the below form or email info@casebrooksurgery.pegasus.net.nz ATTN: HR Manager

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Name (if wish to remain anonymous please leave blank)

First

Last

Email *

When was your most recent appointment?

On a scale of 1 (Very unsatisfied) to 5 (Very satisfied) please rate these aspects of the clinic

Selected Value: 3

Reception Professionalism

Selected Value: 3

Doctors Care

Selected Value: 3

Nurses Care

Selected Value: 3

Access to Services

Selected Value: 3

Clinic Communication

Selected Value: 3

What further services would you wish to see offered at Casebrook Surgery?

Please provide any further feedback you may have.

Please check any of the other services you have used within Highsted Health

• Kiwi Pharmacy
• Highsted Dental
• Casebrook Neurology

Would you like to be contacted regarding your feedback?

• Yes
• No

Submit

Your privacy:

The information shared above including name, contact details and details about your experience is collected in order to provide feedback on your experience with Casebrook Surgery. You have the right to ask for a copy of any personal information we hold about you, and to ask for it to be corrected if you think it is wrong. If you’d like to ask for a copy of your information, or to have it corrected, please contact us at info@casebrooksurgery.pegasus.net.nz, or 033594549, or 1/118A Claridges Road, Casebrook.