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* 1. How satisfied are you with Pinecrest Dental?

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* 2. I feel Pinecrest Dental always delivers on what they promise. 

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* 3. Pinecrest Dental treats me fairly and respectfully. 

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* 4. How likely is it that you would recommend Pinecrest Dental to a friend or colleague?

Not at all likely
Extremely likely

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* 5. How well do our oral health services meet your needs?

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* 6. If a problem arises, I can always count on Pinecrest Dental to reach a fair resolution.

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* 7. Which of the following words would you use to describe our service? Select all that apply.

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* 8. Which charity would you prefer we support in the future on your behalf.

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* 9. Do you have any other questions or comments?

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* 10. Your name (optional-needed to be entered to win $10 gift card)

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