Evaluation Survey
Please let us know how was the service of our Mobile Dental Clinic
Day Visited:
-
Month
-
Day
Year
Date Picker Icon
How did you hear about us:
Flyer
Direct Mail
Family
Social Media
Phone Call
other
Our information packs and brochures were informative, well written and useful:
Strongly Agree
Agree
Disagree
Strongly Disagree
Our Website and social media were valuable to your understanding of our company:
Strongly Agree
Agree
Disagree
Strongly Disagree
Our Primary School Mascot/or high school presentation were thoughtful and important part of the program:
Strongly Agree
Agree
Disagree
Strongly Disagree
Were you satisfied with the Marketing Consultant overall performance:
Strongly Agree
Agree
Disagree
Strongly Disagree
Were you overall satisfied with the Office Staff?:
Strongly Agree
Agree
Disagree
Strongly Disagree
Were you overall satisfied with the Dentists, OHTs and Dental Assistants?
Strongly Agree
Agree
Disagree
Strongly Disagree
Was the overall experience with our program beneficial to the students?
Strongly Agree
Agree
Disagree
Strongly Disagree
Overall Experience and would you book the clinic again in the future?:
Yes
No
Could we get a testimonial stating how the program benefitted the students?
School Name:
Name:
E-mail:
Submit
Should be Empty: