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* 1. Survey completed in:

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* 2. Who did you see today for your treatment?

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* 3. How likely are you to refer a friend or family member to Church Health?

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* 4. In general, how would you rate your overall oral health?

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* 5. I was seen at my scheduled appointment time. 

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* 6. My dental care team explained my treatment plan in a way that was easy for me to understand.

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* 7. My dental care team spent enough time with me.

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* 8. My dental care team treated me as a partner in caring for my dental health.

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* 9. Any other comments:

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