How did you come across Remarkable Smiles?
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Friend/ family referral
Google
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Other
Reason (please specify)
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What would you say was the most likely reason for not attending/ cancelling the dentist?
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Location
Cost
Fear
Appointment times offered
Other
Reason (please specify)
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How would you normally pay for your dental appointment?
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Cash
Credit/debit card
Online link
I do not pay
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Are you aware of our private plan options?
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Yes
No
Somewhat
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Do you think our private plans offer value for money?
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Yes
No
Somewhat
Don’t know
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If we could offer a private plan where the cost is similar to the NHS charge’s how likely are you to sign up to this plan?
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Very likely
Somewhat likely
Not likely
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How often are you using our patient portal to complete dental forms and/or manage appointments?
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Always
Sometimes
Occasionally
Never
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On a scale of 1-10 (1 being not at all and 10 being extremely likely) how likely are you to recommend Remarkable Smiles to friends and family?
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Please Select
1
2
3
4
5
6
7
8
9
10
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What do you like most about visiting Remarkable Smiles?
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What suggestions, if any, do you think would improve Remarkable Smiles?
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