DENTAL CARE SURVEY
VIBE105 FM RESEARCH
1.
What is your age?
18 to 24
25 to 40
40 to 55
55 or older
2.
Do you presently have a dentist that you visit on a regular basis?
Yes
No
3.
How often do you or your family visit the dentist per year?
Monthly
Quarterly
Twice Annually
Annually
Never - can't recall my last visit. (Say cheese! :) )
4.
Would you consider changing your dentist?
Yes
No
If yes please explain why.
5.
When choosing a dentist what factors are you most likely to consider?
Location
Cost
Customer Care/Service
Specialization (On Site Orthodontist etc.)
6.
What is your postal code? (Enter the first 3 digits Ex. L7A or M36)
7.
At what email address would you like to be contacted?
Current Progress,
0 of 7 answered