Absolute Dental

Reno : (775) 787-8900

Satisfaction Survey
(5-1 scoring, 5 = highly satisfied, 1 = not satisfied) Your Name:
Your Email:
Survey is for:
Question:
1. Was it easy to schedule a convenient appointment?	5 4 3 2 1
2. Were you greeted in a prompt and friendly manner?	5 4 3 2 1
3. Was the dentist and/or hygienist sensitive to you needs?	5 4 3 2 1
4. Was your waiting time in the reception reasonable?	5 4 3 2 1
5. Was your treatment explained to your satisfaction?	5 4 3 2 1
6. How would you rate the cleanliness at the dentist facility?	5 4 3 2 1
7. Was your dental treatment completed to your satisfaction?	5 4 3 2 1
8. How would you rate your overall experience?	5 4 3 2 1

Yes/No Answers
9. Would you return to our dental practice for the future treatment?	Yes No
10. Would refer a friend to our dental practice in the future?	Yes No
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