Service quality survey
Dental clinic
Your email
How often do you visit the dentist?
Once in several years
Once a year
Once a month
Only when I have a toothache
What is your budget for a prefab home?
Less than $50,000
$50,000-$100,000
$100,000-$150,000
$150,000-$200,000
More than $200,000
What is your preferred location for your prefab home?
Urban area
Suburban area
Rural area
Other (please specify)
How did you hear about our clinic?
Advice from friends
Advice from family members
Advice from another dentist
Advertising
When did you first visit our clinic?
Less than a year ago
A year ago
Two years ago
Three years ago
More than three years ago
Would you recommend our clinic to your friends?
Yes
No
Additional feedback and comments
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