Patient Survey Questionnaire
Shore Family Dentistry
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When you call to make an appointment, was the staff member courteous and helpful in finding a suitable time?
Strongly Disagree
Strongly Agree
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Upon arrival, were you greeted in a friendly manner and made to feel comfortable?
Strongly Disagree
Strongly Agree
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Were you seated by your appointment time or advised of any delays?
Strongly Disagree
Strongly Agree
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Did the dentist/hygienist take the time to adequately explain the treatment plan and answer your questions?
Strongly Disagree
Strongly Agree
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Do you feel that you understood the recommended treatment and all of your questions were answered to your satisfaction?
Strongly Disagree
Strongly Agree
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If you had a concern during your last visit, do you think it was properly handled by the staff?
Strongly Disagree
Strongly Agree
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Did anything stand out to you during your visit?  Do you have any suggestions on how we can improve? Let us know here:
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