Questionnaire for foreign patients to calculate the loyalty index

What's your gender:

Please indicate your age (number of completed years):

What country did you come from?

Select the dental branch you applied to:

Please indicate where you learned about the State Autonomous Institution “Dental Clinic No. 8”?

Other:

Please rate your overall impression of the dental service received at the State Autonomous Institution “Dental Clinic No. 8”. on a 5-point scale:

Please rate the politeness and friendliness of the attending dentist on a 5-point scale:

Please rate the politeness and friendliness of the dental reception staff on a 5-point scale:

Will you seek dental care again at the State Autonomous Institution “Dental Clinic No. 8”?

Телефоны стоматологии