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* 1. I am happy with the quality of dentistry I received

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* 2. The dentist and nurse made me feel safe/ less anxious

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* 3. The dentist took the time to listen to my concerns and gave me enough information about the treatment he/ she was providing

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* 4. The dentist was clear and did not use too much jargon when he/ she spoke to me

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* 5. The dentist discussed all the possible treatment options including private options

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* 6. The dentist explained to me the cost before we began treatment

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* 7. I do not feel anxious about future appointments with my dentist

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* 8. The reception staff were friendly and courteous

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* 9. Which dentist did you see?

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* 10. Would you like to add any further comments?

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