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  2. 2014
  3. March
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  5. The Practice
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Exit Survey
 
 
Hello:
You are invited to participate in our survey about Ingrams Dental Practice. In this survey, approximately 100 people will be asked to complete a survey that asks questions about [General Survey Process]. It will take approximately 5 minutes to complete the questionnaire.

Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.

Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact Mrs Diane Durose at 01530510783 or by email at the email address specified below.

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.
 
 
 
How many times have you visited the practice in the last year?
 
Once
 
Twice
 
Three times
 
Four times or more
 
 
 
Were you happy with the treatment you received?
 
Yes
 
No
 
Mostly
 
 
 
How would you rate your overall level of satisfaction with us?
 
Highly satisfied
 
Somewhat satisfied
 
Neutral
 
Somewhat dissatisfied
 
Highly dissatisfied
 
Comment:
 
 
 
Have you ever recommended us to others?
 
No, never recommended
 
Have recommended once or twice
 
Have recommended several times
 
 
How satisfied are you with the staff that looked after you:
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied
Reception
Dental nurses
Dentists
Overall
 
 
Please rate your visit to Ingrams Dental Practice
Overall