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* 1. How did you first hear about Abington Dental Associates, Inc.?

* 2. What influenced you to choose us as your dental office? {Please choose all that apply}

* 3. How long have you been a regular patient with us?

* 4. How often do you typically make dental appointments?

* 5. How would rate us in the following areas:

  Extremely Poor Poor Good Very Good Excellent N/A
LOCATION
BUSINESS HOURS
FRIENDLINESS OF STAFF
SKILL OF YOUR DENTIST
SKILL OF YOUR HYGIENIST
SKILL OF SUPPORT STAFF
PAIN CONTROL
COST OF SERVICES
FILING OF INSURANCE CLAIMS
TREATMENT WAS EXPLAINED WELL
COMMUNICATION OF SERVICES AVAILABLE
STERILIZATION PROCEDURES AND CLEANLINESS OF OFFICE
COMFORTABLE ATMOSPHERE

* 6. In which areas did we meet or exceed your expectations or fell short? {Please choose all that apply}

  Exceeded or Met My Expectations Fell short of My Expectations N/A
Treatment by Doctor
Hygiene Treatment
Management of discomfort
Waiting Time
Ease of getting an appointment
Services Offered
Quality of Care
Organization
Sincerity of Staff
Overall Communication
Financial Arrangements
Value
Sterilization
Technology
Feeling Comfortable and Special

* 7. Would you recommend your friends and family to our office for their dental care?

* 8. What is the best way to communicate new services that we are offering or office specials? {Please choose all that apply}

* 9. In what age group do you fall into?

* 10. Do you have any recommendations or suggestions that we can do to improve your dental experience here at Abington Dental Associates?

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