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* 1. How likely are you to recommend our services to family and friends?

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* 2. What was particularly good about your care?

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* 3. Do you have any suggestions on how we can improve?

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* 4. How did you hear about the practice?

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* 5. What is your impression of the cleanliness of the practice?

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* 6. What is your impression of our reception team?

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* 7. What is your impression of the dentist or hygienist you saw today?

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* 8. What was the name of the Dentist/Hygienist you saw today?

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* 9. Do you have any further comments?

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