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DHSV Patient Satisfaction Survey - Public Dental Clinics
DHSV Patient Satisfaction Survey - Public Dental Clinics
Marrianne Beaty

DHSV Patient Satisfaction Survey - Public Dental Clinics

Dental patient post treatment

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Free DHSV Patient Satisfaction Survey - Public Dental Clinics Checklist

Use this Template

Title Page

  • Client/Patient/Carer Satisfaction Survey

  • xxx Public Dental Clinic

  • Conducted on

  • Location

  • Collected by:

Patient / Carer Satisfaction Survey

  • Could you find your way to the dental clinic without any problems?

  • Were the staff courteous and polite to you?

  • Did the Dentist/ Therapist explain all the treatment options to you in a way that you could understand?

  • Would you recommend this clinic to family and friends?

  • What was the best thing(s) about your visit to the dental clinic today?

    • Staff in the clinic
    • Receptionists
    • Treatment
    • Pain management
    • Information
    • Cost
    • Facilities/amenities

Patient / Carer Satisfaction Survey

  • Could you find your way to the dental clinic without any problems?

  • Were the staff courteous and polite to you?

  • Did the Dentist/ Therapist explain all the treatment options to you in a way that you could understand?

  • Would you recommend this clinic to family and friends?

  • What was the best thing(s) about your visit to the dental clinic today?

    • Staff in the clinic
    • Receptionists
    • Treatment
    • Pain management
    • Information
    • Cost
    • Facilities/amenities

Patient / Carer Satisfaction Survey

  • Could you find your way to the dental clinic without any problems?

  • Were the staff courteous and polite to you?

  • Did the Dentist/ Therapist explain all the treatment options to you in a way that you could understand?

  • Would you recommend this clinic to family and friends?

  • What was the best thing(s) about your visit to the dental clinic today?

    • Staff in the clinic
    • Receptionists
    • Treatment
    • Pain management
    • Information
    • Cost
    • Facilities/amenities

Patient / Carer Satisfaction Survey

  • Could you find your way to the dental clinic without any problems?

  • Were the staff courteous and polite to you?

  • Did the Dentist/ Therapist explain all the treatment options to you in a way that you could understand?

  • Would you recommend this clinic to family and friends?

  • What was the best thing(s) about your visit to the dental clinic today?

    • Staff in the clinic
    • Receptionists
    • Treatment
    • Pain management
    • Information
    • Cost
    • Facilities/amenities

Patient / Carer Satisfaction Survey

  • Could you find your way to the dental clinic without any problems?

  • Were the staff courteous and polite to you?

  • Did the Dentist/ Therapist explain all the treatment options to you in a way that you could understand?

  • Would you recommend this clinic to family and friends?

  • What was the best thing(s) about your visit to the dental clinic today?

    • Staff in the clinic
    • Receptionists
    • Treatment
    • Pain management
    • Information
    • Cost
    • Facilities/amenities

Patient / Carer Satisfaction Survey

  • Could you find your way to the dental clinic without any problems?

  • Were the staff courteous and polite to you?

  • Did the Dentist/ Therapist explain all the treatment options to you in a way that you could understand?

  • Would you recommend this clinic to family and friends?

  • What was the best thing(s) about your visit to the dental clinic today?

    • Staff in the clinic
    • Receptionists
    • Treatment
    • Pain management
    • Information
    • Cost
    • Facilities/amenities

Patient / Carer Satisfaction Survey

  • Could you find your way to the dental clinic without any problems?

  • Were the staff courteous and polite to you?

  • Did the Dentist/ Therapist explain all the treatment options to you in a way that you could understand?

  • Would you recommend this clinic to family and friends?

  • What was the best thing(s) about your visit to the dental clinic today?

    • Staff in the clinic
    • Receptionists
    • Treatment
    • Pain management
    • Information
    • Cost
    • Facilities/amenities

Patient / Carer Satisfaction Survey

  • Could you find your way to the dental clinic without any problems?

  • Were the staff courteous and polite to you?

  • Did the Dentist/ Therapist explain all the treatment options to you in a way that you could understand?

  • Would you recommend this clinic to family and friends?

  • What was the best thing(s) about your visit to the dental clinic today?

    • Staff in the clinic
    • Receptionists
    • Treatment
    • Pain management
    • Information
    • Cost
    • Facilities/amenities

Patient / Carer Satisfaction Survey

  • Could you find your way to the dental clinic without any problems?

  • Were the staff courteous and polite to you?

  • Did the Dentist/ Therapist explain all the treatment options to you in a way that you could understand?

  • Would you recommend this clinic to family and friends?

  • What was the best thing(s) about your visit to the dental clinic today?

    • Staff in the clinic
    • Receptionists
    • Treatment
    • Pain management
    • Information
    • Cost
    • Facilities/amenities

Patient / Carer Satisfaction Survey

  • Could you find your way to the dental clinic without any problems?

  • Were the staff courteous and polite to you?

  • Did the Dentist/ Therapist explain all the treatment options to you in a way that you could understand?

  • Would you recommend this clinic to family and friends?

  • What was the best thing(s) about your visit to the dental clinic today?

    • Staff in the clinic
    • Receptionists
    • Treatment
    • Pain management
    • Information
    • Cost
    • Facilities/amenities

Patient / Carer Satisfaction Survey

  • Could you find your way to the dental clinic without any problems?

  • Were the staff courteous and polite to you?

  • Did the Dentist/ Therapist explain all the treatment options to you in a way that you could understand?

  • Would you recommend this clinic to family and friends?

  • What was the best thing(s) about your visit to the dental clinic today?

    • Staff in the clinic
    • Receptionists
    • Treatment
    • Pain management
    • Information
    • Cost
    • Facilities/amenities

Patient / Carer Satisfaction Survey

  • Could you find your way to the dental clinic without any problems?

  • Were the staff courteous and polite to you?

  • Did the Dentist/ Therapist explain all the treatment options to you in a way that you could understand?

  • Would you recommend this clinic to family and friends?

  • What was the best thing(s) about your visit to the dental clinic today?

    • Staff in the clinic
    • Receptionists
    • Treatment
    • Pain management
    • Information
    • Cost
    • Facilities/amenities

Patient / Carer Satisfaction Survey

  • Could you find your way to the dental clinic without any problems?

  • Were the staff courteous and polite to you?

  • Did the Dentist/ Therapist explain all the treatment options to you in a way that you could understand?

  • Would you recommend this clinic to family and friends?

  • What was the best thing(s) about your visit to the dental clinic today?

    • Staff in the clinic
    • Receptionists
    • Treatment
    • Pain management
    • Information
    • Cost
    • Facilities/amenities

Patient / Carer Satisfaction Survey

  • Could you find your way to the dental clinic without any problems?

  • Were the staff courteous and polite to you?

  • Did the Dentist/ Therapist explain all the treatment options to you in a way that you could understand?

  • Would you recommend this clinic to family and friends?

  • What was the best thing(s) about your visit to the dental clinic today?

    • Staff in the clinic
    • Receptionists
    • Treatment
    • Pain management
    • Information
    • Cost
    • Facilities/amenities

Patient / Carer Satisfaction Survey

  • Could you find your way to the dental clinic without any problems?

  • Were the staff courteous and polite to you?

  • Did the Dentist/ Therapist explain all the treatment options to you in a way that you could understand?

  • Would you recommend this clinic to family and friends?

  • What was the best thing(s) about your visit to the dental clinic today?

    • Staff in the clinic
    • Receptionists
    • Treatment
    • Pain management
    • Information
    • Cost
    • Facilities/amenities

Patient / Carer Satisfaction Survey

  • Could you find your way to the dental clinic without any problems?

  • Were the staff courteous and polite to you?

  • Did the Dentist/ Therapist explain all the treatment options to you in a way that you could understand?

  • Would you recommend this clinic to family and friends?

  • What was the best thing(s) about your visit to the dental clinic today?

    • Staff in the clinic
    • Receptionists
    • Treatment
    • Pain management
    • Information
    • Cost
    • Facilities/amenities

Patient / Carer Satisfaction Survey

  • Could you find your way to the dental clinic without any problems?

  • Were the staff courteous and polite to you?

  • Did the Dentist/ Therapist explain all the treatment options to you in a way that you could understand?

  • Would you recommend this clinic to family and friends?

  • What was the best thing(s) about your visit to the dental clinic today?

    • Staff in the clinic
    • Receptionists
    • Treatment
    • Pain management
    • Information
    • Cost
    • Facilities/amenities

Patient / Carer Satisfaction Survey

  • Could you find your way to the dental clinic without any problems?

  • Were the staff courteous and polite to you?

  • Did the Dentist/ Therapist explain all the treatment options to you in a way that you could understand?

  • Would you recommend this clinic to family and friends?

  • What was the best thing(s) about your visit to the dental clinic today?

    • Staff in the clinic
    • Receptionists
    • Treatment
    • Pain management
    • Information
    • Cost
    • Facilities/amenities

Patient / Carer Satisfaction Survey

  • Could you find your way to the dental clinic without any problems?

  • Were the staff courteous and polite to you?

  • Did the Dentist/ Therapist explain all the treatment options to you in a way that you could understand?

  • Would you recommend this clinic to family and friends?

  • What was the best thing(s) about your visit to the dental clinic today?

    • Staff in the clinic
    • Receptionists
    • Treatment
    • Pain management
    • Information
    • Cost
    • Facilities/amenities

Patient / Carer Satisfaction Survey

  • Could you find your way to the dental clinic without any problems?

  • Were the staff courteous and polite to you?

  • Did the Dentist/ Therapist explain all the treatment options to you in a way that you could understand?

  • Would you recommend this clinic to family and friends?

  • What was the best thing(s) about your visit to the dental clinic today?

    • Staff in the clinic
    • Receptionists
    • Treatment
    • Pain management
    • Information
    • Cost
    • Facilities/amenities

Patient / Carer Satisfaction Survey

  • Could you find your way to the dental clinic without any problems?

  • Were the staff courteous and polite to you?

  • Did the Dentist/ Therapist explain all the treatment options to you in a way that you could understand?

  • Would you recommend this clinic to family and friends?

  • What was the best thing(s) about your visit to the dental clinic today?

    • Staff in the clinic
    • Receptionists
    • Treatment
    • Pain management
    • Information
    • Cost
    • Facilities/amenities

Patient / Carer Satisfaction Survey

  • Could you find your way to the dental clinic without any problems?

  • Were the staff courteous and polite to you?

  • Did the Dentist/ Therapist explain all the treatment options to you in a way that you could understand?

  • Would you recommend this clinic to family and friends?

  • What was the best thing(s) about your visit to the dental clinic today?

    • Staff in the clinic
    • Receptionists
    • Treatment
    • Pain management
    • Information
    • Cost
    • Facilities/amenities

Patient / Carer Satisfaction Survey

  • Could you find your way to the dental clinic without any problems?

  • Were the staff courteous and polite to you?

  • Did the Dentist/ Therapist explain all the treatment options to you in a way that you could understand?

  • Would you recommend this clinic to family and friends?

  • What was the best thing(s) about your visit to the dental clinic today?

    • Staff in the clinic
    • Receptionists
    • Treatment
    • Pain management
    • Information
    • Cost
    • Facilities/amenities

Patient / Carer Satisfaction Survey

  • Could you find your way to the dental clinic without any problems?

  • Were the staff courteous and polite to you?

  • Did the Dentist/ Therapist explain all the treatment options to you in a way that you could understand?

  • Would you recommend this clinic to family and friends?

  • What was the best thing(s) about your visit to the dental clinic today?

    • Staff in the clinic
    • Receptionists
    • Treatment
    • Pain management
    • Information
    • Cost
    • Facilities/amenities

Patient / Carer Satisfaction Survey

  • Could you find your way to the dental clinic without any problems?

  • Were the staff courteous and polite to you?

  • Did the Dentist/ Therapist explain all the treatment options to you in a way that you could understand?

  • Would you recommend this clinic to family and friends?

  • What was the best thing(s) about your visit to the dental clinic today?

    • Staff in the clinic
    • Receptionists
    • Treatment
    • Pain management
    • Information
    • Cost
    • Facilities/amenities
DHSV Patient Satisfaction Survey - Public Dental Clinics
Marrianne Beaty

DHSV Patient Satisfaction Survey - Public Dental Clinics

Dental patient post treatment

Use this Template
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