Dental Patient Experience Survey
Have you visited our oral care center?
How did you hear of us?
How many times have you visited us previously?
This is my first time
More than once
Only when my personal dentist is unavailable
How long have you been a regular patient with us?
Less than 1 year
How often do you visit the dentist?
Every 6 months
Only when I have pain
What is the name of the dentist who treated you?
How satisfied are you with the dentist;'s attitude and behavior?
In which areas does our staff make you comfortable?
Management of discomfort
Would you recommend your friends and family have their dental work done with us?
Is there anything else we could do to improve your dental experience?
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