Dental Care – Evaluating Attitudes and Measuring Patient Experience

DESCRIPTION:

For your convenience and ease of reference, we have created a template of Dental Care Survey. You can use this template as such or modify it to suit your needs. Alternatively, you can design your own survey from scratch.


For what reason(s) did you last visit your dentist?

Any other, please specify

What according to you is the best way to find a good dentist?

How satisfied are you with the overall quality of dental care you have received from your dentist?





Are you satisfied with the kind of dental care you received at the hands of your dentist?


Which age group do you belong to?





When was your last visit to a dentist?





How would you rate the health of your teeth/gums?





Did you face any difficulty in choosing a good dentist?




What are the barriers you face in seeing a dentist as often as is needed?

How much importance do you give to various factors before choosing a dental care facility?:Skill of the dentist/hygienist



How much importance do you give to various factors before choosing a dental care facility?:Cost of services




How much importance do you give to various factors before choosing a dental care facility?:Courteous and helpful staff




How much importance do you give to various factors before choosing a dental care facility?:Effectiveness in pain management




How much importance do you give to various factors before choosing a dental care facility?:Supply of information about benefits of new and improved te




How much importance do you give to various factors before choosing a dental care facility?:Assistance in getting insurance claims




How much importance do you give to various factors before choosing a dental care facility?:Location of the dental office




How much importance do you give to various factors before choosing a dental care facility?:Use of latest technology and equipments




Have you ever gone for a cosmetic dental treatment?


Where do you prefer going for dental care?



If you have gone for a cosmetic dental treatment, which one was it?

In case you faced any difficulty in that procedure, please specify.

What difficulty did you face in choosing a good dentist?

How many times have you visited a dentist in last one year?