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General Information
How did you find out about the clinic?
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How would you rate the access to the clinic?
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Scheduling Your Appointment
How did you schedule your appointment?
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Phone
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Was your enquiry handled promptly?
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Was the person who scheduled your appointment courteous and helpful?
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Good
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Needs Improvement
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Day of Your Appointment
How would you rate the courtesy of the staff at the reception desk?
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Outstanding
Good
Adequate
Needs Improvement
Poor
Not At All
How long did you wait in the reception area beyond your scheduled appointment time?
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0-5 Minutes
5-10 Minutes
10-20 Minutes
Other
Your Oral Health Clinician
How would you characterise the demeanor of your clinician?
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Attentive
Concerned
Friendly
Distracted
Rushed
Inconsiderate
Please rate the clarity of the clinician's explanation of your condition and treatment options?
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Outstanding
Good
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Were your questions answered to your satisfaction?
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The Facility
How would you rate the facility?
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Good
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Needs Improvement
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N/A
Would you recommend this facility and its staff to your family and friends?
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No
How would you rate our concern for your privacy?
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Outstanding
Good
Adequate
Needs Improvement
Poor
N/A
Additional Comments
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Contact Information
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+91 77100 01123
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