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* 1. We would like you to think about your recent experience of our service.

How likely are you to recommend our dental practice to friends and family if they need similar care or treatment?

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* 2. Are you male or female?

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* 3. What age are you?

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* 4. Do you consider yourself to have a disability?  

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* 5. Are you?

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* 6. Which of the following best describes your ethnic background?

T