Dental Hygiene Clinic - Patient Survey
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1. How Are We Doing?

 
The Community College of Denver (CCD) Dental Hygiene Program is dedicated to providing dental health care of the highest quality to our patients. Your opinion of our services is necessary to achieve this quality. Please take a few moments to complete this survey. Thank you!

1. Name of Student Dental Hygienist:

2. Please click on the circle that best describes your opinion.

 Strongly AgreeAgreeDisagreeStrongly DisagreeDoes Not Apply
I was pleased with the care provided by the Student Dental Hygienist.
I was pleased with the Supervising Dentist and/or the Supervising Dental Hygienist.
My student was friendly.
My student treated me with respect.
My student listened carefully and encouraged me to ask questions.
My student clearly explained the treatment needed, explained my options, and involved me in the process.
My student explained what was going to happen before each procedure.
My student knew when I was experiencing discomfort and made accommodations.
My student wanted me to feel confident about the treatment I was receiving.
Overall, I was pleased with the care I received at CCD Dental Hygiene Clinic.

3. If you have any suggestions on how your experience at the CCD Dental Hygiene Clinic could have been improved upon, let us know in the box below.

4. Did you have problems with scheduling appointments?

5. Did you think the treatment and waiting areas were clean?

6. Do you feel that the cost for your dental hygiene services was reasonable?

7. Would you recommend dental hygiene treatment at CCD Dental Hygiene Clinic to a friend or relative?