We would like to know how you feel about the services we provide, so we can make sure that we are meeting your expectations. Your responses help us to improve our service. All responses are anonymous and confidential. Thank you for your time.

1. Are you

2. How often do you go to the dentist for a check-up?

3. Which dentist(s) do you usually see?

4. Ease of getting an appointment

  Excellent Good Fair Poor N/A
Convenient appointment available
Hours clinic is open
Convenience of clinic location

5. Waiting

  Excellent Good Fair Poor N/A
Time kept waiting
Comfort while waiting

6. Dentist

  Excellent Good Fair Poor N/A
Listens to you
Takes enough time with you
Explains what you want to know
Gives you good advice and treatment

7. Dental Nurses

  Excellent Good Fair Poor N/A
Helpful and friendly to you
Listen to you
Take enough time with you
Explain what you want to know

8. Reception

  Excellent Good Fair Poor N/A
Helpful and friendly to you
Answers your questions
Courtesy on telephone/email
Queries answered quickly

9. Charges/Billing

  Excellent Good Fair Poor N/A
Value of services
Explanation of charges
Payment options

10. Facility

  Excellent Good Fair Poor N/A
Neat and clean surroundings
Comfort of dental chair
Use of technology
Privacy

11. Would you refer us to your friends or relatives?

12. What do you like best about our clinic?

13. What do you like least about our clinic?

14. How could we improve our service?

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