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Patient Anonymous Feedback
We would love to hear your thoughts or feedback on how we can improve your experience!
Your feedback is collected voluntarily and anonymously to enhance the improvement of our establishment.
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Was the secretary polite and helpful?
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Yes
No
Other:
Was the dental assistant professional, considerate, and sensitive?
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Yes
No
Other:
Was the dentist professional, considerate, and sensitive?
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Yes
No
Other:
Was your dental treatment clearly explained?
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Yes
No
Other:
Was the equipment clean and presentable?
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Yes
No
Other:
Was your dental treatment completed efficiently?
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Yes
No
Other:
Were the fees for services fair?
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Yes
No
Other:
Do you plan to remain a patient at Friendly Dental Center? If not, why?
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Yes
No
Maybe
Other:
How did you hear about our office?
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Friend
Family
Google
Insurance
Other:
Suggestions for improvement
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Comments
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