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Pinecrest Dental NEW PATIENT EXPERIENCE Survey. This survey will take less than 3 minutes, and you'll be entered to win 1 of 3 $10 Lunch Giftcards! Plus you’ll get a $5 account credit. Thanks for your feedback! -Dr. Tyler Williams
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1.
During my first phone call to the office the staff addressed my needs.
(Required.)
Strongly Agree
Agree
Somewhat Agree
Somewhat Disagree
Disagree
Strongly Disagree
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2.
How satisfied are you with your first visit at Pinecrest Dental?
(Required.)
Very satisfied
Somewhat satisfied
Neither satisfied nor dissatisfied
Somewhat dissatisfied
Very dissatisfied
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3.
I feel Pinecrest Dental helped me understand my options for treatment.
(Required.)
Strongly Agree
Agree
Neither Agree or Disagree
Disagree
Strongly Disagree
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4.
Pinecrest Dental responded to my calls, texts, and/or emails in a timely manner.
(Required.)
Strongly Agree
Agree
Somewhat Agree
Somewhat Disagree
Disagree
Strongly Disagree
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5.
On a scale of 0 to 10,
How likely is it that you would recommend Pinecrest Dental to a friend or colleague?
0 for Not at all likely, 10 for Extremely likely
(Required.)
Not at all likely
Extremely likely
0
1
2
3
4
5
6
7
8
9
10
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6.
What is your preferred time of day for dental appointments?
(Required.)
Early Morning (7-9 AM)
Late Morning (9:30 - 11:30 AM)
Afternoons (12-4:30 PM)
Evenings (5PM or later)
Saturday Mornings (9-11:30 AM)
Saturday Afternoons (12-2 PM)
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7.
What is your preferred day of the week for dental appointments? (Check up to 2 days)
(Required.)
Mondays
Tuesdays
Wednesdays
Thursdays
Fridays
Saturdays
Other (please specify)
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8.
Which of the following words would you use to describe our services? (Select all that apply.)
(Required.)
Reliable
High quality
Useful
Unique
Good value for money
Overpriced
Impractical
Ineffective
Poor quality
Unreliable
9.
For our next charity, which organization would you prefer we make a donation to on your behalf?
Salt Lake Donated Dental Services
Horizon Elementary
The Oral Cancer Foundation
The Veterans Hospital
Other (please specify)
10.
Comments? Team members youd like to mention?
11.
Your name (optional & confidential - required to enter lunch giftcard drawing).