http://lifestylesmiles.com.au/customer-experience-survey/
Customer Experience Survey
To maintain our commitment to deliver the best dental experience to our patients, we have prepared the following digital survey. It contains 11 short-answer questions which should take 2-5 minutes to complete. All responses enter a draw to win an Apple Watch! We thank you for your support.
Q1: How did you first hear about us?*
Social Media (e.g. Facebook) Search Engine (e.g. Google) Digital Directory (e.g. Yellow Pages) Word of Mouth Passing By Insurance Company Radio Ad Community Newsletter Other (please specify below)
Q2: How long have you been a patient with Lifestyle Smiles?*
I'm a new patient (never visited your clinic before) Less than 1 year 1-2 years 3-4 years 5-9 years 10+ years
Q3: What made you choose Lifestyle Smiles?* (Please select all that apply)
Great service Location Quality of work Friendly staff Price Latest dental technology Reviews from other patients Other (please specify below)
Q4: How often do you visit the dentist?*
Quarterly Every 6 months Yearly Only when I experience pain Other (please specify below)
Q5: How do you rate us in the following areas? (Please select a rating for each item)
Location of our clinic*
Opening hours*
Friendliness of staff*
Skill of Hygienist and support staff*
Skill of your Dentist*
Pain management*
Cost of treatments*
Handling of insurance claims*
Providing you with information about your dental care*
Your treatment options being explained well*
Informing you of new treatments and technologies we provide*
Q6: In which areas does our staff make you feel comfortable?* (Please select all that apply)
Convenience Organisation Making you feel special Value Financial arrangements Hygiene treatment Understanding of our sterilisation practices Waiting time Service Management of discomfort Quality Communication Other (please specify below)
Q7: Would you recommend your friends or family to Lifestyle Smiles?*
Yes, definitely No Maybe (please specify below)
Q8: What is the best way to communicate with you our new services and promotions?* (Please select all that apply)
Email Newspaper ad Mail Phone call Text message (to mobile phone) Other (please specify below)
Q9: Which dental treatment(s) interest you?* (Please select all that apply)
Cosmetic Dentistry Teeth Whitening Teeth Straightening (aka Orthodontics) Dental Restoration Veneers Dentures Crowns & Bridges Guided Implant Surgery Invisalign Inman Aligner Dental Sedation Same-day Dental Restoration Other (please specify below)
Q10: Is there something we could do to say "thank you" for referring family and friends to our clinic?* (please select all that apply)
No need to do anything Tickets to a sporting event Gift certificate to local restaurant Discount off dental services Gift certificate to local salon Gift certificate for dental services Free dental hygiene products Other (please specify below)
Q11: Is there anything else we could do to improve your dental experience with us?
Great, we're almost done ...
Provide your contact detail for a chance to WIN an Apple Watch
Thank you for taking the time to complete the survey. If you would like to enter the draw to WIN an Apple Watch Sport Edition, please provide your contact details below so we may keep in touch. Entries close at 5pm AEST on Friday 28th August 2015, and the winner will be drawn and announced on Monday 31st August.
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