First Dental Care Visit | Monokian Dentistry Haddonfield & Marlton NJ

To Our New Patients...

Our goal is to provide you with a dental experience that meets or exceeds your expectations, so it helps us to know what those expectations are, and how well we've met them so far. Please help us deliver the best possible care by candidly answering the questions below.

Unlike some surveys where your answers just disappear into some huge database, we actually read every response, and use that information to guide us in the future. Our goal: to provide you with the best possible dental care and patient services.

Please don't hestitate to answer these questions candidly. You will have the option of responding anonymously.

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What was your main reason for making a switch to Monokian Dentistry?

We're interested in all the details you wish to provide.

Which of the following were factors in your decision to switch from your previous dentist to Monokian Dentistry? (Check all that apply)

I moved, and I no longer live near my old dentist.
My dental insurance changed, or my dentist left my insurance network.
I was unhappy with the quality of their dental care.
A friend told me about Monokian Dentistry.
My dentist retired or moved out of the area.
Your online reviews.
The substantial savings available through your membership plan.
Your reputation for excellence in cosmetic dentistry.
You were recommended by another dentist.

Please indicate how much you agree or disagree with these statements about your PREVIOUS dentist.

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
My previous dentist's office was always very clean and neat.	Strongly DisagreeMy previous dentist's office was always very clean and neat. Strongly Disagree	DisagreeMy previous dentist's office was always very clean and neat. Disagree	NeutralMy previous dentist's office was always very clean and neat. Neutral	AgreeMy previous dentist's office was always very clean and neat. Agree	Strongly AgreeMy previous dentist's office was always very clean and neat. Strongly Agree
Everyone was always friendly and welcoming.	Strongly DisagreeEveryone was always friendly and welcoming. Strongly Disagree	DisagreeEveryone was always friendly and welcoming. Disagree	NeutralEveryone was always friendly and welcoming. Neutral	AgreeEveryone was always friendly and welcoming. Agree	Strongly AgreeEveryone was always friendly and welcoming. Strongly Agree
It was easy to schedule appointments.	Strongly DisagreeIt was easy to schedule appointments. Strongly Disagree	DisagreeIt was easy to schedule appointments. Disagree	NeutralIt was easy to schedule appointments. Neutral	AgreeIt was easy to schedule appointments. Agree	Strongly AgreeIt was easy to schedule appointments. Strongly Agree
My last dentist never ran behind schedule, so I never spent much time their waiting room.	Strongly DisagreeMy last dentist never ran behind schedule, so I never spent much time their waiting room. Strongly Disagree	DisagreeMy last dentist never ran behind schedule, so I never spent much time their waiting room. Disagree	NeutralMy last dentist never ran behind schedule, so I never spent much time their waiting room. Neutral	AgreeMy last dentist never ran behind schedule, so I never spent much time their waiting room. Agree	Strongly AgreeMy last dentist never ran behind schedule, so I never spent much time their waiting room. Strongly Agree
They explained treatment options clearly, and took the time to answer all of my questions.	Strongly DisagreeThey explained treatment options clearly, and took the time to answer all of my questions. Strongly Disagree	DisagreeThey explained treatment options clearly, and took the time to answer all of my questions. Disagree	NeutralThey explained treatment options clearly, and took the time to answer all of my questions. Neutral	AgreeThey explained treatment options clearly, and took the time to answer all of my questions. Agree	Strongly AgreeThey explained treatment options clearly, and took the time to answer all of my questions. Strongly Agree
They were great at managing pain, so I was always comfortable during treatment.	Strongly DisagreeThey were great at managing pain, so I was always comfortable during treatment. Strongly Disagree	DisagreeThey were great at managing pain, so I was always comfortable during treatment. Disagree	NeutralThey were great at managing pain, so I was always comfortable during treatment. Neutral	AgreeThey were great at managing pain, so I was always comfortable during treatment. Agree	Strongly AgreeThey were great at managing pain, so I was always comfortable during treatment. Strongly Agree
The quality of their dental work was excellent	Strongly DisagreeThe quality of their dental work was excellent Strongly Disagree	DisagreeThe quality of their dental work was excellent Disagree	NeutralThe quality of their dental work was excellent Neutral	AgreeThe quality of their dental work was excellent Agree	Strongly AgreeThe quality of their dental work was excellent Strongly Agree
I was happy with the overall experience.	Strongly DisagreeI was happy with the overall experience. Strongly Disagree	DisagreeI was happy with the overall experience. Disagree	NeutralI was happy with the overall experience. Neutral	AgreeI was happy with the overall experience. Agree	Strongly AgreeI was happy with the overall experience. Strongly Agree

Have we met all of your expectations so far? If not, what could we have done better?

Please indicate how much you agree or disagree with these statements about your recent visit to Monokian Dentistry.

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
Everyone at Monokian Dentistry was friendly and welcoming.	Strongly DisagreeEveryone at Monokian Dentistry was friendly and welcoming. Strongly Disagree	DisagreeEveryone at Monokian Dentistry was friendly and welcoming. Disagree	NeutralEveryone at Monokian Dentistry was friendly and welcoming. Neutral	AgreeEveryone at Monokian Dentistry was friendly and welcoming. Agree	Strongly AgreeEveryone at Monokian Dentistry was friendly and welcoming. Strongly Agree
Your office was clean and neat.	Strongly DisagreeYour office was clean and neat. Strongly Disagree	DisagreeYour office was clean and neat. Disagree	NeutralYour office was clean and neat. Neutral	AgreeYour office was clean and neat. Agree	Strongly AgreeYour office was clean and neat. Strongly Agree
I had an easy time scheduling my appointment.	Strongly DisagreeI had an easy time scheduling my appointment. Strongly Disagree	DisagreeI had an easy time scheduling my appointment. Disagree	NeutralI had an easy time scheduling my appointment. Neutral	AgreeI had an easy time scheduling my appointment. Agree	Strongly AgreeI had an easy time scheduling my appointment. Strongly Agree
The Patient Coordinator who scheduled me set clear expectations for my appointment.	Strongly DisagreeThe Patient Coordinator who scheduled me set clear expectations for my appointment. Strongly Disagree	DisagreeThe Patient Coordinator who scheduled me set clear expectations for my appointment. Disagree	NeutralThe Patient Coordinator who scheduled me set clear expectations for my appointment. Neutral	AgreeThe Patient Coordinator who scheduled me set clear expectations for my appointment. Agree	Strongly AgreeThe Patient Coordinator who scheduled me set clear expectations for my appointment. Strongly Agree
I was seen right away; I didn't have to wait long.	Strongly DisagreeI was seen right away; I didn't have to wait long. Strongly Disagree	DisagreeI was seen right away; I didn't have to wait long. Disagree	NeutralI was seen right away; I didn't have to wait long. Neutral	AgreeI was seen right away; I didn't have to wait long. Agree	Strongly AgreeI was seen right away; I didn't have to wait long. Strongly Agree
My clinician explained everything clearly and thoroughly.	Strongly DisagreeMy clinician explained everything clearly and thoroughly. Strongly Disagree	DisagreeMy clinician explained everything clearly and thoroughly. Disagree	NeutralMy clinician explained everything clearly and thoroughly. Neutral	AgreeMy clinician explained everything clearly and thoroughly. Agree	Strongly AgreeMy clinician explained everything clearly and thoroughly. Strongly Agree
Everyone took the time to answer all of my questions.	Strongly DisagreeEveryone took the time to answer all of my questions. Strongly Disagree	DisagreeEveryone took the time to answer all of my questions. Disagree	NeutralEveryone took the time to answer all of my questions. Neutral	AgreeEveryone took the time to answer all of my questions. Agree	Strongly AgreeEveryone took the time to answer all of my questions. Strongly Agree
My visit went exactly as it had been described to me.	Strongly DisagreeMy visit went exactly as it had been described to me. Strongly Disagree	DisagreeMy visit went exactly as it had been described to me. Disagree	NeutralMy visit went exactly as it had been described to me. Neutral	AgreeMy visit went exactly as it had been described to me. Agree	Strongly AgreeMy visit went exactly as it had been described to me. Strongly Agree
I'm very happy with how my visit went.	Strongly DisagreeI'm very happy with how my visit went. Strongly Disagree	DisagreeI'm very happy with how my visit went. Disagree	NeutralI'm very happy with how my visit went. Neutral	AgreeI'm very happy with how my visit went. Agree	Strongly AgreeI'm very happy with how my visit went. Strongly Agree

To date, how satisfied are you with your overall experience at Monokian Dentistry?

Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5

How likely are you to recommend Monokian Dentistry to family or friends?

	Very Unlikely	Somewhat Unlikely	Not Sure / Indifferent	Somewhat Likely	Very Likely
LIkelihood of referring family or friends.	Very UnlikelyLIkelihood of referring family or friends. Very Unlikely	Somewhat UnlikelyLIkelihood of referring family or friends. Somewhat Unlikely	Not Sure / IndifferentLIkelihood of referring family or friends. Not Sure / Indifferent	Somewhat LikelyLIkelihood of referring family or friends. Somewhat Likely	Very LikelyLIkelihood of referring family or friends. Very Likely

If you have any comments or suggestions, please share them here.

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