Patient Satisfaction Survey

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Protection of personal data

This survey is fully anonymous. Your name, phone number or any identifying/health information is neither collected nor stored.

BEFORE TREATMENT

How satisfied were you with the answers you received when you contacted us?

How satisfied were you with the answers you received when you contacted us?

How satisfied were you with the review of what you sent (photos and X-rays)?

How satisfied were you with the review of what you sent (photos and X-rays)?

How satisfied were you with how clear and open the information about your treatment plan was?

How satisfied were you with how clear and open the information about your treatment plan was?

TRAVEL, HOTEL AND WELCOME

How satisfied were you with the transfer service?

How satisfied were you with the transfer service?

How satisfied were you with the hotel?

How satisfied were you with the hotel?

How satisfied were you with your welcome at the clinic?

How satisfied were you with your welcome at the clinic?

THE CLINIC AND CLEANLINESS

How satisfied were you with the cleanliness of the seating areas and treatment rooms?

How satisfied were you with the cleanliness of the seating areas and treatment rooms?

DOCTOR AND TREATMENT

How satisfied were you with the way your doctor treated you?

How satisfied were you with the way your doctor treated you?

How satisfied were you with the respect for your privacy during the treatment?

How satisfied were you with the respect for your privacy during the treatment?

How satisfied were you with the respect for your cultural values during the treatment?

How satisfied were you with the respect for your cultural values during the treatment?

How satisfied were you with the care and support from your treatment coordinator?

How satisfied were you with the care and support from your treatment coordinator?

How satisfied were you with your comfort during the treatment?

How satisfied were you with your comfort during the treatment?

How satisfied were you with the treatment and your new smile?

How satisfied were you with the treatment and your new smile?

OVERALL

Overall, did we meet your expectations?

Overall, did we meet your expectations?

Not at all likelyExtremely likely
Would you recommend our clinic to someone close to you?

Would you recommend our clinic to someone close to you?

Not at all likelyExtremely likely
Anything you would like to add or suggest:

Anything you would like to add or suggest: