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University Dental Associates Survey

University Dental Associates - Raymond Garrison, DDS


TO OUR VALUED PATIENT: In order to better serve you, we would appreciate your comments concerning your visit at University Dental Associates. Please take a few minutes to complete the questions accordingly. Pick the answer that most closely matches your response to the statments according to the scale below.


Who is your dentist? (*)

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Practice Location: (*)

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How long have you been a patient in this practice?

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Pick the number that most closely matches your response according to the following scale:

1= Agree
2= Disagree
3= No opinion
NA= Not Applicable

I have been able to schedule appointments with ease in this practice.

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I have been able to get through on the telephone line with ease when calling.

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I am never put on hold for long periods of time when calling.

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The front desk staff was courteous / pleasant when scheduling my appointment.

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The appointment times / days are very convenient for me.

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Parking is convenient for me.

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I am seen on time for my appointments.

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I am satisfied with my treatment in this practice.

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The dentist was sensitive to my comfort and fully explained my dental problems to me.

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My dental assistant(s) was courteous to me.

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My dental hygienist(s) was courteous to me.

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I am satisfied with my payment arrangements and billing procedures in this practice.

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I would recommend this office to others.

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Have any of our staff been particularly helpful?

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Comments or suggestions:

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Your name: Invalid Input Date: Invalid Input