Patient Feedback Survey New Horizons Dental Patient Feedback Survey Question Title * 1. Waiting time. We aim to see all patients within 15 minutes. At your most recent visit, how long did you have to wait before you could be seen by the Dentist? Less than 15 minutes Between 15 and 30 minutes Between 30 and 45 minutes More than 45 minutes Question Title * 2. Courtesy. During your visit, were you treated professionally and with respect by our staff? Yes, at all times Mostly No, not at all Question Title * 3. Decision. We always aim to fully involve patients in the process of decision making about their treatments. How satisfied are you that you were involved in the decisions about your treatment? Very satisfied Fairly satisfied Neither satisfied nor dissatisfied Fairly dissatisfied Very dissatisfied Question Title * 4. Cost. We always aim to provide all patients with a detailed treatment plan and a clear breakdown of costs before any treatment starts. How satisfied are you with the information provided about the cost of your treatment? Very satisfied Fairly satisfied Neither satisfied nor dissatisfied Fairly dissatisfied Very dissatisfied Question Title * 5. Treatment. How satisfied are you with the outcome of your treatment? Very satisfied Fairly satisfied Neither satisfied nor dissatisfied Fairly dissatisfied Very dissatisfied Question Title * 6. Loyalty. How likely are you to come back to our practice for your future treatments? Very likely Likely Neither likely nor unlikely Unlikely Very unlikely Question Title * 7. Recommendation. How likely are you to recommend our practice to family and friends? Very likely Likely Neither likely nor unlikely Unlikely Very unlikely Question Title * 8. Overall rating. Out of 5, how many stars would you give to our practice? Question Title * 9. Comments. We would appreciate any additional feedback in the comment box below. What do you like about our practice? How could we improve? You are welcome to include your name if you'd like (optional). Thank you very much for your time! Done