精德口腔陽(yáng)光門(mén)診初診滿意度調(diào)查問(wèn)卷

Why did you choose to have dental treatment at JD Dental Clinic? (Multiple selections allowed)

What is your primary reason for the visit? (Multiple selections allowed) 

Are you satisfied with the dentist and treatment he carried of this visit?

1 = Very dissatisfied; 10 = Very satisfied

Any suggestion for the dentist to provide better treatment services?

 1 = Very Dissatisfied 10 = Very Satisfied

Any suggestion for the nurses/dentist’s assistants to provide better treatment services?

Are you satisfied with the front desk service during this visit?

 1 = No 10. Very willing

Any other suggestion for our Clinic?

Please rate your experience of this visit: 1 for very dissatisfied, 10 for very satisfied

The dentist that carried the treatment for you this time was...