How did you come across Remarkable Smiles?
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Friend/family referral
Google
Advertisement
Other
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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
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How would you normally pay for your dental appointment
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Cash
Credit/ debit card
Online link
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Are you a private pay as you go patient or private plan patient?
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Pay as you go
Plan
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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
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Would you rather receive a free toothbrush at each hygiene appointment or that the practice donates the cost of the toothbrush to a local charity?
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Free toothbrush
Donate the cost of toothbrush to a local charity
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How often do you use the Remarkable Smiles loyalty card?
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Often
Somewhat
Occassionally
Never
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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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