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Dental Care Survey Template

Dental Care Survey Template includes questions about the time between visits, evaluation of the visits, importance of factors in choosing a dentist, and notification preference. This sample can be edited by the survey maker according to the required details about dental care and dentists. Some of the question examples of this questionnaire are "Do you presently have a dentist that you visit on a regular basis?", "How did you find your dentist?", "The most common reason for not going to the dentist is" et al.


Do you presently have a dentist that you visit on a regular basis?
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:
How often do you make visits to your current dentist?
How often do you go to your dentist for regular checkups?
Would you like your dentist to notify you when it is time for a 6-month check-up?
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?
I would prefer the following payment plan for my dental care:
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?
Would you expect the dentist who takes longer to do a better job?
What do you like best about your personal dentist?
What would you suggest that might make a visit to your dentist more pleasurable?

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Medical Examination Services Survey Template offers questions to evaluate the desirability of medical examination features and customer attitudes of current services. This sample can be edited by the survey maker according to the required details about the medical examination. Some of the question examples of this questionnaire are "Rate the following parameters according to their importance", "How would you rate on each of the following items with your current medical service provider?" et al.

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