Community Input

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Community Input

For: Park Road Dental Care

Thank you for taking the time to help shape the future of your new dental practice.

Your feedback will play a key role in designing in the services we offer, helping us to meet the needs of our local community.

We would be very grateful if you could take a few minutes to share your thoughts and ideas with us.

Would you welcome a new dental practice in your community?
*

Yes

Indifferent

Are you looking for a new dentist? *

Yes

Maybe

Do you currently have a regular dentist? *

Yes

If so, how many years have you been attending your dentist?

Less than 1 year

1-2 years

3-5 years

5-10 years

10+ years

N/A

Clear selection

Is your current dentist NHS or private?

NHS

Private

Mixed NHS and Private

Independant

N/A

Clear selection

Clear form

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