Satisfaction Survey – ICO – TDH Dental

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1Agreement

2General Information

3Satisfaction level

The information you provide in this survey is intended to be used to improve the quality of our services. If you have any additional suggestions or comments, please let us know. Your information will be kept confidential.

Section 1: General information

The company will keep this information confidential for the benefit of the respondents.

1. Name - Lastname *

2. Treatment/Service you have received. (Can choose more than one)

1. Consultation/X-ray
2. Filling/Cleaning
3. Tooth Whitening
4. Invisalign
5. Brava
6. Braces
7. Extraction/Surgical removal
8. Crown/Bridge
9. Implant
10. Root Canal Treatment
11. Periodontal Treatment
12. Occlusion Treatment
13. Pediatric Dentistry

Section 2: Professional service satisfaction

Rating Criteria
4 stars = Excellent
3 stars = Good
2 stars = Fair
1 star = Needs Improvement

Receptionists

1. Courtesy & Service Mindfulness *

Rate 1 out of 4Rate 2 out of 4Rate 3 out of 4Rate 4 out of 4

2. Communicating information *

Rate 1 out of 4Rate 2 out of 4Rate 3 out of 4Rate 4 out of 4

3. Expertise & Professionalism *

Rate 1 out of 4Rate 2 out of 4Rate 3 out of 4Rate 4 out of 4

Dental Assistants

1. Courtesy & Service Mindfulness *

Rate 1 out of 4Rate 2 out of 4Rate 3 out of 4Rate 4 out of 4

2. Communicating information *

Rate 1 out of 4Rate 2 out of 4Rate 3 out of 4Rate 4 out of 4

3. Expertise & Professionalism *

Rate 1 out of 4Rate 2 out of 4Rate 3 out of 4Rate 4 out of 4

Dentists

1. Courtesy & Service Mindfulness *

Rate 1 out of 4Rate 2 out of 4Rate 3 out of 4Rate 4 out of 4

2. Communicating information *

Rate 1 out of 4Rate 2 out of 4Rate 3 out of 4Rate 4 out of 4

3. Expertise & Professionalism *

Rate 1 out of 4Rate 2 out of 4Rate 3 out of 4Rate 4 out of 4

Operational Preparedness

1. Usability and hygiene of services areas *

Rate 1 out of 4Rate 2 out of 4Rate 3 out of 4Rate 4 out of 4

2. Parking facility *

Rate 1 out of 4Rate 2 out of 4Rate 3 out of 4Rate 4 out of 4

3. Functional Facilities and Infrastructure *

Rate 1 out of 4Rate 2 out of 4Rate 3 out of 4Rate 4 out of 4

Section 3: Overall satisfaction

1. What are your primary reason/s for choosing THONGLOR DENTAL HOSPITAL CO., LTD? (You may select multiple options) *

Brand Reputation
Dentist's Expertise
Good value for money
Modern Dental Technology & Facilities
Location Accessibility
Referrals

Comments

2. Would you recommend THONGLOR DENTAL HOSPITAL CO.,LTD to others? (Please choose only one) *

Yes
Maybe
No, why

Please specify. *

Please specify. *

Please specify. *

3. Suggestion for improvement

Your feedback is valuable for our service improvement.

4. Would you like to contact you back?

Thonglor Dental Hospital Co.,Ltd.

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