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1. The dentist respects confidentiality.
Agree
Strongly Agree
Disagree
Strongly Disagree
2. I am satisfied with the system of making appointments.
Agree
Strongly Agree
Disagree
Strongly Disagree
3. The dentist welcomes you with warmness greeting.
Agree
Strongly Agree
Disagree
Strongly Disagree
4. I am confident with the dentist's ability.
Agree
Strongly Agree
Disagree
Strongly Disagree
5. I am satisfied with the standard of emergency treatment given at the practice.
Agree
Strongly Agree
Disagree
Strongly Disagree
6. I am satisfied with contacting for appointment via phone call.
Agree
Strongly Agree
Disagree
Strongly Disagree
7. The dentist communicates with courtesy towards other staff.
Agree
Strongly Agree
Disagree
Strongly Disagree
8. The treatment is well explained by the dentist
Agree
Strongly Agree
Disagree
Strongly Disagree
9. The dentist gives information to help you keep your teeth/mouth healthy.
Agree
Strongly Agree
Disagree
Strongly Disagree
10. I am satisfied with the promptness of the services provided.
Agree
Strongly Agree
Disagree
Strongly Disagree
11. Patients are treated with courtesy.
Agree
Strongly Agree
Disagree
Strongly Disagree
12. The dentist gives you choices about treatment options.
Agree
Strongly Agree
Disagree
Strongly Disagree
13. I am overall satisfied with the visit to the dentist.
Agree
Strongly Agree
Disagree
Strongly Disagree
14. The dentist is careful during the treatment.
Agree
Strongly Agree
Disagree
Strongly Disagree
15. The dentist gives clear explanation about the cost of the treatment.
Agree
Strongly Agree
Disagree
Strongly Disagree
16. The dentist show respect.
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 would recommend the dentist to my friends.
Agree
Strongly Agree
Disagree
Strongly Disagree
19. The cost is reasonable for the services provided.
Agree
Strongly Agree
Disagree
Strongly Disagree
20. The dentist encourage you to express your concerns and fears.
Agree
Strongly Agree
Disagree
Strongly Disagree
21. I am satisfied with the services provided.
Agree
Strongly Agree
Disagree
Strongly Disagree
22. The waiting area is very comfortable and adequate.
Agree
Strongly Agree
Disagree
Strongly Disagree
23. I am satisfied with the length of time before routine appointments.
Agree
Strongly Agree
Disagree
Strongly Disagree
24. The dentist really listens to you.
Agree
Strongly Agree
Disagree
Strongly Disagree
25. Please specify your gender.
Male
Female
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