* 1. During your most recent visit, did your healthcare provider explain things in a way that was easy to understand?

* 2. In the last 12 months, when you made an appointment for a check-up or routine care with your healthcare provider, how often did you get an appointment as soon as you needed?

* 3. How likely are you to recommend your dentist to friends, family and colleagues?

* 4. During a typical office visit, does your dentist spend too much time with you, too little time with you, or about the right amount of time with you?

* 5. How many days in a typical week do you brush your teeth?

* 6. Overall, were you satisfied with the care you received, neither satisfied nor dissatisfied with it, or dissatisfied with it?

* 7. In general, how would you rate the overall condition of your teeth and gums?

* 8. In the last 12 months, how often did the dentists or dental staff explain what they were doing while treating you?

* 9. Using any number from 0 to 10, where 0 is the worst regular dentist possible and 10 is the best regular dentist possible, what number would you use to rate your regular dentist?

  10 Best regular dentist possible 9 8 7 6 5 4 3 2 1 0 Worst regular dentist possible
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