Dental Patient Feedback Survey
We value your input as a patient. This survey aims to help us understand your experiences and expectations regarding your dental care. Your feedback will be kept confidential and is essential for improving our services.
How satisfied were you with the cleanliness of our dental clinic during your last visit?*
Please focus on waiting areas, treatment rooms, and restroom facilities.
Which dental services have you received at our clinic?*
Select all that apply so we can understand the range of care you have experienced.
How easy was it to schedule your last dental appointment?*
We want to know if our appointment process meets your needs.
Please describe anything that made your dental visit especially comfortable or uncomfortable.
Share specific factors such as interactions with staff, the environment, or other details.
How clearly did the dentist or hygienist explain your treatment options?*
Clarity helps patients make informed choices about their dental health.
Did you experience any pain or discomfort during your treatment?*
Your comfort during care is very important to us.
What, if any, concerns do you have about your dental health at the moment?
Let us know your main dental health concerns or questions.
How likely are you to recommend our dental clinic to family or friends?*
Your recommendation is a key indicator of your satisfaction.
What could we do to improve your overall experience as a dental patient?*
Thank you for helping us deliver outstanding dental care!
Thank you for taking a part in this survey.
