Healthcare 10 questions · 3-5 minutes · beginner
Dental Practice Feedback Survey Questions
Gather patient feedback on dental visits and oral health services. Evaluate dentist communication, comfort during procedures, and overall practice experience.
Questions
1
How would you rate your overall experience at our dental practice?
Rating (1-5) · Required
2
How easy was it to book your appointment?
Rating (1-5) · Required
3
What type of visit did you have?
- Routine cleaning/checkup
- Filling or restoration
- Cosmetic procedure
- Emergency visit
- Consultation
- Other
Multiple Choice · Required
4
How comfortable were you during your procedure?
Rating (1-5) · Required
5
How well did the dentist explain the treatment?
Rating (1-5) · Required
6
How gentle and caring was the dental team?
Rating (1-5) · Required
7
How clean and modern is our facility?
Rating (1-5) · Required
8
How was the wait time for your appointment?
- No wait
- Short wait (under 10 minutes)
- Moderate wait (10-20 minutes)
- Long wait (over 20 minutes)
Multiple Choice · Required
9
How likely are you to recommend our practice to others?
NPS (0-10) · Required
10
Any suggestions for how we can improve your experience?
Long Text
Template Info
- Questions
- 10
- Est. Time
- 3-5 minutes
- Difficulty
- beginner
🏥
Healthcare
More templates →Tags
dentaldentistoral healthpatient feedback