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Dental Care Survey

Dear Sir / Madam,

thank you for visiting us. By filling out this 5-10 minute survey, you will help us obtain the very best results.

1 Do you presently have a dentist that you visit on a regular basis?
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2 How did you find your dentist?
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3 The most common reason for not going to the dentist is:
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4 Since when have you made regular visits to the current dentist?
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5 Do members of your household go to:
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6 How often do you go to the dentist for checkups?
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7 Would you like your dentist to notify you when it is time for a check-up?
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8 How would you prefer to receive this notice?
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9 What do you like best about your personal dentist?
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10 What would you suggest that might make a visit to your dentist more pleasurable?
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