Share the Survey:
 DENTAL SERVICES SATISFACTION SURVEY
Assess patients satisfaction with the current services provided.

1.  I am satisfied with the standard of emergency treatment given at the practice.

  Agree
  Strongly Agree
  Disagree
  Strongly Disagree


2.  I am satisfied with the length of time before routine appointments.

  Agree
  Strongly Agree
  Disagree
  Strongly Disagree


3.  I am satisfied with contacting for appointment via phone call.

  Agree
  Strongly Agree
  Disagree
  Strongly Disagree


4.  The dentist encourage you to express your concerns and fears.

  Agree
  Strongly Agree
  Disagree
  Strongly Disagree


5.  Patients are treated with courtesy.

  Agree
  Strongly Agree
  Disagree
  Strongly Disagree


6.  The dentist is careful during the treatment.

  Agree
  Strongly Agree
  Disagree
  Strongly Disagree


7.  I am satisfied with the promptness of the services provided.

  Agree
  Strongly Agree
  Disagree
  Strongly Disagree


8.  The dentist really listens to you.

  Agree
  Strongly Agree
  Disagree
  Strongly Disagree


9.  The waiting area is very comfortable and adequate.

  Agree
  Strongly Agree
  Disagree
  Strongly Disagree


10.  The cost is reasonable for the services provided.

  Agree
  Strongly Agree
  Disagree
  Strongly Disagree


11.  Please specify your gender.

  Male
  Female


12.  I am satisfied with the system of making appointments.

  Agree
  Strongly Agree
  Disagree
  Strongly Disagree


13.  The dentist gives information to help you keep your teeth/mouth healthy.

  Agree
  Strongly Agree
  Disagree
  Strongly Disagree


14.  I would recommend the dentist to my friends.

  Agree
  Strongly Agree
  Disagree
  Strongly Disagree


15.  The treatment is well explained by the dentist

  Agree
  Strongly Agree
  Disagree
  Strongly Disagree


16.  The dentist welcomes you with warmness greeting.

  Agree
  Strongly Agree
  Disagree
  Strongly Disagree


17.  I am satisfied with the length of service before emergency appointments.

  Agree
  Strongly Agree
  Disagree
  Strongly Disagree


18.  I am satisfied with the services provided.

  Agree
  Strongly Agree
  Disagree
  Strongly Disagree


19.  I am overall satisfied with the visit to the dentist.

  Agree
  Strongly Agree
  Disagree
  Strongly Disagree


20.  The dentist gives clear explanation about the cost of the treatment.

  Agree
  Strongly Agree
  Disagree
  Strongly Disagree


21.  I am confident with the dentist's ability.

  Agree
  Strongly Agree
  Disagree
  Strongly Disagree


22.  The dentist show respect.

  Agree
  Strongly Agree
  Disagree
  Strongly Disagree


23.  The dentist gives you choices about treatment options.

  Agree
  Strongly Agree
  Disagree
  Strongly Disagree


24.  The dentist respects confidentiality.

  Agree
  Strongly Agree
  Disagree
  Strongly Disagree


25.  The dentist communicates with courtesy towards other staff.

  Agree
  Strongly Agree
  Disagree
  Strongly Disagree