思傑牙科顧客意見分享區 Share Your Thoughts with Us
感謝您一直以來對思傑牙科的信任和支持。為提升專業服務品質、提供更貼心的牙科服務， 請將您的意見或建議告訴我們。謝謝！
謹此致謝。
思傑牙科醫療集團
www.cjdental.hk
www.facebook.com/cjdentalcare
wechat# hkcjdentalcare
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* 個人資料及私隱聲明：
在未經閣下之同意，思傑牙科絕不會向外提供閣下的個人資料。如閣下對有關個人資料收集方法、查閱及改正個人資料等有任何查詢, 請發電郵至
pr@cjdental.hk
與我們聯絡。
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Thank you very much for choosing CJ Dental. We always strive to serve you better. Please help us by taking a few minutes to tell us about the service that you have received so far. We would like to make sure we meet your expectations.
Yours sincerely,
CJ Dental Care
www.cjdental.hk
www.facebook.com/cjdentalcare
wechat# hkcjdentalcare
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* Privacy Policy:
CJ Dental Care will not, without your consent, provide your personal data to any third parties for purposes unrelated to CJ Dental Care and will not sell or transfer personal data to others. Should you have any enquiries, please email us at
pr@cjdental.hk
.
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* Required
Email address
*
Your email
1. 請選擇診所
*
Clinic that you have visited
太子診所 Prince Edward Clinic
旺角診所 Mongkok Clinic
屯門齒健診所 Smiles Dental
屯門柏健診所 Brightsmiles Dental
紅磡診所 Hung Hom Clinic
2. 您的應診醫生：
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Your dentist
Dr. Cedric Chiu
Dr. Zevon Ng
Dr. Jodie Szeto
Dr. Kenny Chan
Dr. Richard Yip
Dr. Manuel Man
Dr. Bryan Siu
Dr. Johnson Lee
Dr. Dora Chu
Dr. Chloe Ma
Dr. Jimmy Chau
Dr. Law Hong Yu
Dr. Vincent Cheung
Dr. Ernest Tang
Dr. Kenneth Chan
Dr. Derek Fung
Dr. Anita Chan
Dr. Ivan Tsui
Other:
3. 求診原因及治療項目
*
Treatments conducted
Your answer
4. 您對本診所牙科醫生的專業技術 (1-非常滿意; 2-滿意; 3-普通; 4-須改善)
*
Dentists' technical skill level (1- very satisfied; 2- satisfied; 3- ok; 4- improvement is needed)
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2
3
4
5. 您對本診所牙科醫生的服務態度 (1-非常滿意; 2-滿意; 3-普通; 4-須改善)
*
Dentists' service level(1- very satisfied; 2- satisfied; 3- ok; 4- improvement is needed)
1
2
3
4
6. 您對本診所姑娘的服務態度 (1-非常滿意; 2-滿意; 3-普通; 4-須改善)
*
Nurses' attitude(1- very satisfied; 2- satisfied; 3- ok; 4- improvement is needed)
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2
3
4
7. 您對本診所醫護人員的服務效率 (1-非常滿意; 2-滿意; 3-普通; 4-須改善)
*
Staff's efficiency level(1- very satisfied; 2- satisfied; 3- ok; 4- improvement is needed)
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2
3
4
8. 您對本診所醫護人員的整體用心程度 (1-非常滿意; 2-滿意; 3-普通; 4-須改善)88.
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Staff's overall performance (1- very satisfied; 2- satisfied; 3- ok; 4- improvement is needed)
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2
3
4
9. 您對本診所環境的感覺 (1-非常滿意; 2-滿意; 3-普通; 4-須改善)
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Clinic environment (1- very satisfied; 2- satisfied; 3- ok; 4- improvement is needed)
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2
3
4
10. 您對本診所服務範圍的清潔衛生程度 (1-非常滿意; 2-滿意; 3-普通; 4-須改善)
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Cleanliness (1- very satisfied; 2- satisfied; 3- ok; 4- improvement is needed)
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2
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4
11. 您對本診所的整體感覺 (1-非常滿意; 2-滿意; 3-普通; 4-須改善)
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Overall clinical experience (1- very satisfied; 2- satisfied; 3- ok; 4- improvement is needed)
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2
3
4
12. 對您而言，在選擇牙科診所時所考慮的三大因素為：
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Top 3 concerns when choosing your dental clinic
價錢 Price
診所環境 Clinic environmnet
位置方便 Location
醫生技術 Dentists' technical skill
服務態度及效率 Services and efficiency
網上口碑／親友介紹 Goodwill/ referral
Other:
Required
13. 您從何得知思傑牙科？
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How did you know about CJ Dental Care
親友介紹 Referral
網上搜尋 Online research
公司/ 組織牙科優惠計劃 Corp dental service scheme
Other:
14. 您願意推薦思傑牙科給親友嗎？
*
Would you recommend CJ Dental Care to your friends and family?
願意 Yes
不願意 No
15. 您對本診所有任何印象深刻的優缺點以及改善建議？歡迎您詳述：
Other recommendations for CJ Dental Care:
Your answer
個人資料 Personal Information
性別
*
Sexuality
男 Male
女 Female
年齡
*
Age
20歲或以下 20 or below
20 - 40
41 - 60
61 ＋
每月平均收入
*
Monthly salary
HK$ 20,000 或以下 or below
HK$ 20,001 － HK$ 40,000
HK$ 40,000 或以上 or above
您同意我們把您的意見在網上平台分享嗎？（不含個人資料）
*
Would you mind if we share your comment on online platform ( without personal information) ?
同意 Agree
不同意 Disagree
如有需要，歡迎閣下留下您的姓名及電郵地址讓我們作出有關跟進。謝謝。
Please leave us your Name & Email Address for follow up. Thank you.
您的姓名 Your Name ( 非必須填寫 Optional )
Your answer
日間聯絡電話 Contact No. ( 非必須填寫 Optional )
Your answer
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