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  2. 2013
  3. November
  4. P
  5. Patient Satisfaction
0%
Exit Survey
 
 
Which provider did you see at your visit today?
 
Dr. Nehal Al Tarhuni
 
Dr. Somaya Eid
 
Dr. Jordan Gerster
 
Cheryl (Hygienist)
 
Kate (Hygienist)
 
 
How satisfied are you with the following:
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied
Ability to get in to be seen
Hours office is open
Convenience of office's location
Prompt return on calls
 
 
How satisfied are you with the following:
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied
Time in waiting room
Time in exam room
Waiting for dentist in room
Length of dental procedure
 
 
How satisfied are you with the following:
Provider
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied
Listens to you
Takes enough time with you
Explains what you want to know
Gives you good advice and treatment
Was the freezing comfortable
Level of comfort with scaling
 
 
How satisfied are you with the following:
Receptionist
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied
Friendly and helpful to you
Answers your questions
 
 
How satisfied are you with the following:
Payment
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied
What you pay
Explanation of charges
Collection of payment/money
 
 
How satisfied are you with the following:
Facility
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied
Neat and clean building
Comfort and safety while waiting
Privacy
 
 
How satisfied are you with the following:
Confidentiality
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied
Keeping my personal information private
 
 
 
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied
The likelihood of referring your family and friends to us:
 
 
 
Do you consider this office your regular source of care?