Orthodontic Satisfaction Survey
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1. Your gender?

Your gender? Male

Female

2. Your age?

Your age? Under 13

13-17

18-24

25-29

30-39

40-49

Over 50

3. What town/city/area do you live in?

What town/city/area do you live in?

4. What's important in selecting an orthodontic practice:

	Key consideration	Very important	Important	Doesn't matter
Hours of operation	What's important in selecting an orthodontic practice: Hours of operation Key consideration	Hours of operation Very important	Hours of operation Important	Hours of operation Doesn't matter
Location	Location Key consideration	Location Very important	Location Important	Location Doesn't matter
Marketing	Marketing Key consideration	Marketing Very important	Marketing Important	Marketing Doesn't matter
Referral by friend or dentist	Referral by friend or dentist Key consideration	Referral by friend or dentist Very important	Referral by friend or dentist Important	Referral by friend or dentist Doesn't matter
Reputation	Reputation Key consideration	Reputation Very important	Reputation Important	Reputation Doesn't matter
Website	Website Key consideration	Website Very important	Website Important	Website Doesn't matter

Comments

5. What matters when it comes to your initial visit/examination?

	Key consideration	Very important	Important	Doesn't matter
Condition/cleanliness of office	What matters when it comes to your initial visit/examination? Condition/cleanliness of office Key consideration	Condition/cleanliness of office Very important	Condition/cleanliness of office Important	Condition/cleanliness of office Doesn't matter
Thorough explanations of your condition and treatment options	Thorough explanations of your condition and treatment options Key consideration	Thorough explanations of your condition and treatment options Very important	Thorough explanations of your condition and treatment options Important	Thorough explanations of your condition and treatment options Doesn't matter
Bonding with the doctor and staff	Bonding with the doctor and staff Key consideration	Bonding with the doctor and staff Very important	Bonding with the doctor and staff Important	Bonding with the doctor and staff Doesn't matter
Decor of office	Decor of office Key consideration	Decor of office Very important	Decor of office Important	Decor of office Doesn't matter
Being seen on time	Being seen on time Key consideration	Being seen on time Very important	Being seen on time Important	Being seen on time Doesn't matter
Being made to feel at home	Being made to feel at home Key consideration	Being made to feel at home Very important	Being made to feel at home Important	Being made to feel at home Doesn't matter
Communication with your dentist	Communication with your dentist Key consideration	Communication with your dentist Very important	Communication with your dentist Important	Communication with your dentist Doesn't matter
Having your questions and concerns heard	Having your questions and concerns heard Key consideration	Having your questions and concerns heard Very important	Having your questions and concerns heard Important	Having your questions and concerns heard Doesn't matter

Comments

6. How important are these service features?

	Key consideration	Very important	Important	Doesn't matter
Email access to doctor and staff	How important are these service features? Email access to doctor and staff Key consideration	Email access to doctor and staff Very important	Email access to doctor and staff Important	Email access to doctor and staff Doesn't matter
Automated credit card payments	Automated credit card payments Key consideration	Automated credit card payments Very important	Automated credit card payments Important	Automated credit card payments Doesn't matter
Automated text message appointment reminders	Automated text message appointment reminders Key consideration	Automated text message appointment reminders Very important	Automated text message appointment reminders Important	Automated text message appointment reminders Doesn't matter
Proximity to bus service	Proximity to bus service Key consideration	Proximity to bus service Very important	Proximity to bus service Important	Proximity to bus service Doesn't matter
Automated email appointment reminders	Automated email appointment reminders Key consideration	Automated email appointment reminders Very important	Automated email appointment reminders Important	Automated email appointment reminders Doesn't matter
Being seen on time	Being seen on time Key consideration	Being seen on time Very important	Being seen on time Important	Being seen on time Doesn't matter
Online access to your appointment and account information	Online access to your appointment and account information Key consideration	Online access to your appointment and account information Very important	Online access to your appointment and account information Important	Online access to your appointment and account information Doesn't matter
Website with practice and orthodontic information	Website with practice and orthodontic information Key consideration	Website with practice and orthodontic information Very important	Website with practice and orthodontic information Important	Website with practice and orthodontic information Doesn't matter

Comments

7. Importance of other factors regarding the doctor:

	Key consideration	Very important	Important	Doesn't matter
Communication skills	Importance of other factors regarding the doctor: Communication skills Key consideration	Communication skills Very important	Communication skills Important	Communication skills Doesn't matter
Education/continuing education	Education/continuing education Key consideration	Education/continuing education Very important	Education/continuing education Important	Education/continuing education Doesn't matter
Approachability	Approachability Key consideration	Approachability Very important	Approachability Important	Approachability Doesn't matter
Years in practice	Years in practice Key consideration	Years in practice Very important	Years in practice Important	Years in practice Doesn't matter
Community service	Community service Key consideration	Community service Very important	Community service Important	Community service Doesn't matter

Comments

8. When selecting a doctor to provide Invisalign treatment:

	Key consideration	Very important	Important	Doesn't matter
Ability to get all dental treatment in one location	When selecting a doctor to provide Invisalign treatment: Ability to get all dental treatment in one location Key consideration	Ability to get all dental treatment in one location Very important	Ability to get all dental treatment in one location Important	Ability to get all dental treatment in one location Doesn't matter
Ability to offer various options, such as braces	Ability to offer various options, such as braces Key consideration	Ability to offer various options, such as braces Very important	Ability to offer various options, such as braces Important	Ability to offer various options, such as braces Doesn't matter
Provider level/experience with Invisalign	Provider level/experience with Invisalign Key consideration	Provider level/experience with Invisalign Very important	Provider level/experience with Invisalign Important	Provider level/experience with Invisalign Doesn't matter
Specialist in orthodontics	Specialist in orthodontics Key consideration	Specialist in orthodontics Very important	Specialist in orthodontics Important	Specialist in orthodontics Doesn't matter

Other (please specify)

9. What would you like orthodontists to know?

What would you like orthodontists to know?

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Orthodontic Satisfaction SurveyExit this survey

1. Your gender?

2. Your age?

3. What town/city/area do you live in?

4. What's important in selecting an orthodontic practice:

5. What matters when it comes to your initial visit/examination?

6. How important are these service features?

7. Importance of other factors regarding the doctor:

8. When selecting a doctor to provide Invisalign treatment:

9. What would you like orthodontists to know?

Orthodontic Satisfaction Survey
Exit this survey