To maintain our commitment to deliver the best dental experience to our patients, we have prepared the following digital survey. It contains short-answer questions which should take 5-15 minutes to complete. We thank you for your support!

Q1: How did you first hear about us?*
GoogleFacebook / InstagramWebsiteSignageReferralOther

Q2: How many times have you visited Bacchus Marsh Dental House in the past year?*
Once2-3 times4, or more, times

Q3: Tell us a little about yourself (this information helps us tailor our service to you)*
I am under 18 years of ageI am between 18-25 years of ageI am between 26-40 years of ageI am between 41-55 years of ageI am over 55 years of ageI prefer not to state my age
I am maleI am femaleI prefer not to state my gender

Q4: Please select the best description of your visit today*
Comprehensive ExamDental EmergencyContinuing Treatment

Q5: How do you rate us in the following areas?* (Please respond to each item)

Appointments*
It was easy to make my first appointment: Disagree CompletelySomewhat DisagreeUnsure / Not ApplicableSomewhat AgreeAgree Completely
The Front Office Co-ordinator was polite and helpful: Disagree CompletelySomewhat DisagreeUnsure / Not ApplicableSomewhat AgreeAgree Completely
I received a reminder of each of my appointments: Disagree CompletelySomewhat DisagreeUnsure / Not ApplicableSomewhat AgreeAgree Completely
It was easy to reschedule a convenient appointment: Disagree CompletelySomewhat DisagreeUnsure / Not ApplicableSomewhat AgreeAgree Completely
Appointment ran on time to my schedule: Disagree CompletelySomewhat DisagreeUnsure / Not ApplicableSomewhat AgreeAgree Completely

Facilities*
The office location and parking were convenient: Disagree CompletelySomewhat DisagreeUnsure / Not ApplicableSomewhat AgreeAgree Completely
The reception area was neat and clean: Disagree CompletelySomewhat DisagreeUnsure / Not ApplicableSomewhat AgreeAgree Completely
The temperature in the clinic was comfortable: Disagree CompletelySomewhat DisagreeUnsure / Not ApplicableSomewhat AgreeAgree Completely
The music in the clinic was pleasant: Disagree CompletelySomewhat DisagreeUnsure / Not ApplicableSomewhat AgreeAgree Completely

Q6: Experience with Your Dentist
The Dentist who treated me today is:
Dr Fong (Max) YongDr Alanna TannerDr Claire KnowlesDr Lee PhuaDr Sonia Sahota
The Dentist was professional and courteous: Disagree CompletelySomewhat DisagreeNA (I was not attended to by a Dentist)Somewhat AgreeAgree Completely
The Dentist was considerate and sensitive to my needs: Disagree CompletelySomewhat DisagreeUnsure / Not ApplicableSomewhat AgreeAgree Completely
The Dentist was gentle with my procedure: Disagree CompletelySomewhat DisagreeUnsure / Not ApplicableSomewhat AgreeAgree Completely

Q7: Experience with Our Team
The Hygienist / Oral Health Therapist who treated me today is: AlissaLisaCaroline
The Hygienist / Oral Health Therapist was professional and courteous: Disagree CompletelySomewhat DisagreeNA (I was not attended to by a Hygienist)Somewhat AgreeAgree Completely
The Hygienist / Oral Health Therapist was considerate and sensitive to my needs: Disagree CompletelySomewhat DisagreeUnsure / Not ApplicableSomewhat AgreeAgree Completely
The Hygienist / Oral Health Therapist was gentle with my procedure: Disagree CompletelySomewhat DisagreeUnsure / Not ApplicableSomewhat AgreeAgree Completely
The Dental Assistant was professional and courteous: Disagree CompletelySomewhat DisagreeNA (I was not attended to by a Dental Assistant)Somewhat AgreeAgree Completely
The Dental Assistant was considerate and sensitive to my needs: Disagree CompletelySomewhat DisagreeUnsure / Not ApplicableSomewhat AgreeAgree Completely

Q8: About Your Treatment*
My proposed dental treatments was clearly explained: Disagree CompletelySomewhat DisagreeUnsure / Not ApplicableSomewhat AgreeAgree Completely
I was given treatment options:
The dental treatment was completed to my satisfaction: Disagree CompletelySomewhat DisagreeUnsure / Not ApplicableSomewhat AgreeAgree Completely
The dental treatment I received felt valuable: Disagree CompletelySomewhat DisagreeUnsure / Not ApplicableSomewhat AgreeAgree Completely
I plan to remain a patient at this office: Disagree CompletelySomewhat DisagreeUnsure / Not ApplicableSomewhat AgreeAgree Completely

Q6: Additional Comments (optional)
What I liked best about the clinic was:

In what ways could we have made your experience better?

Great, we're almost done ...

Thank you for taking the time to complete the survey. Please provide your contact details so that we may keep in touch! (Optional)



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