Dr. Sunil International
Dental Center
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Patient Satisfaction Survey
General Information
How did you find out about the clinic?*
How would you rate the access to the clinic?
(Ease of getting there)
Schedule Your Appointment
How did you schedule your appointment?
Was your enquiry Handled Promptly?
Was the person who scheduled your appointment courteous and helpful?
Day of your appointment
How about you rate the courtesy of the staff and the reception Desk
Was the language clear and understandable
Which Services did you receive during appointment
Your Oral Health Clinician
Mark the boxes that characterise the demeanor of your Clinician
Please rate the clarity of the Specialist's explanation of condition and treatment options
Did you share your private details with Specialists (e.g. Contact, Email ID etc)
Were your queries answered to your satisfaction
The Facility
Did you get the driver on time at the informed place
Was the driver courteous
Did you like the Accomodation
Final Rating on the facility basis your experience
Privacy
How would you rate our concern for your Privacy
Recommendations
Would you recommend our Services*
Final rating for the Services Provided*
Comments
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