In your most recent visit; how long did you have to wait in the practice before you could be seen by the dentist Excellent = less than 15 minutes Poor = More than 45 minutes
(The cleanliness, the music and the temperature)
It is our policy to provide all patients with a detailed treatment plan and a clear breakdown of costs before any treatment starts. How satisfied are you with the information given to you about the cost of your treatment?
How many stars would you give to our practice?5 stars = excellent4 stars = good3 stars = fair2 stars = poor
During your visit, were you treated professionally and with respect by our front officer?
We always aim to fully involve patients in the process of decision making about their treatments. How satisfied are you with the doctor explanation about your treatment? And how are you satisfied with the outcome of your treatment?
How satisfied are you with the dental assistant role during your treatment in the operation room?
How likely are you to come and recommend our practice to your family and friends?
Please write a few things that you liked about our practice: (optional)
Please write a few things that you think we should improve in our practice: (optional)
You can write any other comments you may have below: (optional)