We wish you continued health and wellness. Thank you for filling out this questionnaire, which helps us to develop and solve problems for the services provided to you, and we are always looking to improve your satisfaction.
* Name
* Mobile number
Name of the treating physician (optional)
* Ease of admission procedures and opening the file before your entry to the clinic:
* Time spent with you by your dentist to explain your medical condition
* Attention shown by your doctor about your questions or concerns*
* Comprehensiveness of treatment provided to you*
* Cleanness of clinic and hospital: *
* Precautions taken to protect against infection (masks, gloves, .... etc )*
* General assessment of the treating dentist’s skills:*
* General assessment of hospital care*
Any other suggestions: