Dental Care Survey - COPIED [neafhaiuaq]

Do you presently have a dentist that you visit on a regular basis?

Yes

No

How did you find your dentist?

Do members of your household go to (check all that apply):

The most common reason for not going to the dentist is:

I do go for regular check-ups

Transportation

The cost of care

I don't need to go very often

I forget to go

I don't like dentists

There is nothing wrong with my teeth

Other

Since when have you made regular visits to the current dentist?

How often do you go to the dentist for checkups?

Every 6 months

At least once a year

At least every 2 years

At least once every 3-4 years

It depends, I go when I have trouble with my teeth

Would you like your dentist to notify you when it is time for a 6-month check-up?

Yes

No

Not sure

If you would like your dentist to notify you when it is time for a check-up, how would you prefer to receive this notice?

Phone call

Mail

E-mail

Other

If two weeks go by and you had not yet made an appointment, would you like them to call back again?

Yes

No

Not sure

I would prefer the following payment plan for my dental care:

Payment required at the time of care (cash/check)

Payment by charge cards at the time of care (VISA, Mastercard, etc.)

Monthly payment plan at 1.5% interest per month

Payment due within 30 days

Other

Dental charges may vary subject to the amount of time that the dentist takes to complete a procedure, as well as the kind of work performed. If the cost were the same, what kind of dentist would you prefer?

Takes a little longer to get the job done, but talks to you during the procedure (cost $45, 45 minutes time)

Completes the work more rapidly and talks less (cost $45, 30 minutes time)

Completes the work very rapidly (cost $45, 20 minutes time)

Would you expect the dentist who takes longer to do a better job?

Yes

No

Not sure

What do you like best about your personal dentist?

What would you suggest that might make a visit to your dentist more pleasurable?