Craigentinny Dental Care Patient Feedback Survey

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* 1. How long have you been a patient?

This was my first visit

0 - 1 years

1 - 3 years

3 - 5 years

5+ years

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* 2. How easy do you find it to

	Very difficult	Difficult	Average	Easy	Very easy
make an appointment	make an appointment Very difficult	make an appointment Difficult	make an appointment Average	make an appointment Easy	make an appointment Very easy
contact us by phone	contact us by phone Very difficult	contact us by phone Difficult	contact us by phone Average	contact us by phone Easy	contact us by phone Very easy
contact us by e-mail	contact us by e-mail Very difficult	contact us by e-mail Difficult	contact us by e-mail Average	contact us by e-mail Easy	contact us by e-mail Very easy

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* 3. What did we do for you today? ( please tick all that apply )

Examination

Hygienist Visit

A Filling

An Extraction

Crown or bridge visit

Dental Implants

Orthodontic Treatment

Other (please specify)

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* 4. Did we keep you waiting?

I was taken on time

5 minutes late

10 minutes late

15 minutes late

20 minutes late

25+ minutes late

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* 5. How do you feel about our timekeeping?

	Very much	Somewhat	Not really	Not at all
listen to you	listen to you Very much	listen to you Somewhat	listen to you Not really	listen to you Not at all
put you at ease	put you at ease Very much	put you at ease Somewhat	put you at ease Not really	put you at ease Not at all
examine your mouth throroughly	examine your mouth throroughly Very much	examine your mouth throroughly Somewhat	examine your mouth throroughly Not really	examine your mouth throroughly Not at all
answer your questions	answer your questions Very much	answer your questions Somewhat	answer your questions Not really	answer your questions Not at all
provide pain free treatment	provide pain free treatment Very much	provide pain free treatment Somewhat	provide pain free treatment Not really	provide pain free treatment Not at all
provide clear information on costs	provide clear information on costs Very much	provide clear information on costs Somewhat	provide clear information on costs Not really	provide clear information on costs Not at all

Very much

Somewhat

Not really

Not at all

listen to you

listen to you Very much

listen to you Somewhat

listen to you Not really

listen to you Not at all

put you at ease

put you at ease Very much

put you at ease Somewhat

put you at ease Not really

put you at ease Not at all

examine your mouth throroughly

examine your mouth throroughly Very much

examine your mouth throroughly Somewhat

examine your mouth throroughly Not really

examine your mouth throroughly Not at all

answer your questions

answer your questions Very much

answer your questions Somewhat

answer your questions Not really

answer your questions Not at all

provide pain free treatment

provide pain free treatment Very much

provide pain free treatment Somewhat

provide pain free treatment Not really

provide pain free treatment Not at all

provide clear information on costs

provide clear information on costs Very much

provide clear information on costs Somewhat

provide clear information on costs Not really

provide clear information on costs Not at all

Craigentinny Dental Care Patient Feedback

1. Patient Satisfaction Survey Part 1 of 2

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* 1. How long have you been a patient?

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* 2. How easy do you find it to

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* 3. What did we do for you today? ( please tick all that apply )

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* 4. Did we keep you waiting?

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* 5. How do you feel about our timekeeping?

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* 6. At your visit, did the dentist