Hygeia Dental Care
3040 Yan An West Road Shanghai

Tel:021-64061866

Consultation online


Opening Hours::9:30-18:00
Hygeia  >> Questionnaire

Questionnaire

下载web文本打印后填写回传

Questionnaire

Please answerthe following questions to assist us in offering the better service for you.. Weappreciate it!

1、Registration andReception

A、Attitude of receptionist:                            □ Excellent   □ Good   □ Average □ Unsatisfied     □ Very Unsatisfied

B、 Explanation & Communication:           □ Excellent   □ Good   □ Average □ Unsatisfied     □ Very Unsatisfied

2、 Clinic Environment

A、 Sterilizationand Cleanliness :    □ Excellent   □ Good   □ Average □ Unsatisfied     □ Very Unsatisfied

B、 Treatment room Environment :     □ Excellent   □ Good   □ Average □ Unsatisfied     □ Very Unsatisfied

3、  Clinical Staff and Treatment Results

A、 Dentist :                         □ Excellent   □ Good   □ Average □ Unsatisfied     □ Very Unsatisfied

B、 Dental Assistant :        □ Excellent   □ Good   □ Average □ Unsatisfied     □ Very Unsatisfied

C、 Communication:          □ Excellent   □ Good   □ Average □ Unsatisfied     □ Very Unsatisfied

4、Charges  

A、 Registration fees :                          □ Higher    □High □ Normal  □ lower

B、Treatment Fees :                             □ Higher    □High □ Normal  □ lower

5. Would you liketo recommend your friends to Hygeia Dental?

□ yes  □ no

6、 follow-up:

A、 Would you like to set up a fixed relationship between your company and Hygeia Dental which can help your colleagues to get more discount?                                                               □ yes                  □ no

                                    Your Company:                                       Whom we may talk to:                 Telephone  number:

B、Do you have insurance covered dental treatment?                            □  yes      □  no

 

C、Commendation:                                                              The name of our staff:

 

D、Your suggestions to help us getting better : 


 

Thank  you for your kindly filling the form.

 

|Contact Us|Patient center|Smile gallery|Dental library|Our Team|Our services|About us|Home
Copyright © www.hygeia-dental.com Hygeia Dental Care.. All Rights Reserved.
ICP:11019057 CNZZ