Please help us identify how we can improve our services to you by completing this short questionnaire

About you (optional)
Your name
Your telephone number
Your mobile number
Your e-mail address

We would like to improve our communications with you

Would you be interested in continuing toreceive a 6 monthly recall appointment reminder?
Yes No

If "Yes" would you prefer to receive it by:

Text E-mail Post

Would you be interested in receiving a FREE e-mail newsletter to keep you up to date with information about our practice and services available?
Yes No

What other information would you find useful in a newsletter?

NHS Developments Practice Changes & News
Oral Healthcare Advice Information on treatments available
Information on cosmetic treatments available Private dental scheme reviews
Other (please specify)

At JEM Dental Care we offer a wide range of competitively price private treatments:

Would you be interested in finding out more about the private treatments available?
Yes No

Would you be interested in finding out more about the affordable fixed price schemes for the provision of private treatment?
Yes No

How important are the following to you?

  Very
Important
Fairly
Important
Not
Important
1. That I remain registered with JEM Dental Care?
2 That I continue to receive 6 monthly checkups?

Which statement best describes you:

  1. I would never consider private treatment
  2. I will only consider private treatment if it means I would continue to be registered with the practice
  3. I would be interested in receiving some private but only in addition to the NHS care available to me
  4. I am very interested in becoming a private patient

Would you like us to contact you to discuss private treatments available?
Yes No

Are there any other improvements to our service that you would like us to consider (please specify)

Thank-you for taking the time to complete our questionnaire.

Monday 1, December 2008

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