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Patient Satisfaction Survey
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2020-11-13T17:57:28-06:00
Patient Satisfaction Survey
When you enter our office for a dental appointment, do you receive a friendly greeting from thee receptionist and/or other members of the office staff?
Always
Usually
Rarely
Never
When you call to make or change an appointment, is the office staff polite, courteous, and helpful in finding you an available appoinment date and time?
Always
Usually
Rarely
Never
Does the dentist and assistants take an adequate amount of time to explain your proposed treatment, ensure that you understand, and take time to answer your questions??
Always
Usually
Rarely
Never
When you visit our office, how long do you usually wait in the reception area (after the scheduled time of your appointment) before you are seated in the dental chair?
Little to no time
1-10 minutes
11-20 minutes
More than 20 minutes
After being seated in the dental chair, how long do you usually wait before seeing the dentist, dental hygienist, or other staff for treatment?
Little to no time
1-10 minutes
11-20 minutes
More than 20 minutes
How would you rate the professionalism of the dentist(s) in our practice?
Very Professional
Average
Too Casual
Not Professional
How would you rate the professionalism of the dental hygienist(s) in our practice?
Very Professional
Average
Too Casual
Not Professional
How would you rate the professionalism of the receptionist(s) in our practice?
Very Professional
Average
Too Casual
Not Professional
Are you satisfied with the way you are treated as an individual and a patient in our dental office? If no, please explain.
Yes
No
What can we do to make your visits with us more pleasant and enjoyable?
Time is Up!
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