Table 4 Patient satisfaction survey questionnaire
Strongly disagree | Disagree | Neither agree nor disagree | Agree | Strongly agree | |
|---|---|---|---|---|---|
1. I am satisfied with how my dentist presented all the options for the treatment of my tooth decay. | 1 | 2 | 3 | 4 | 5 |
2. I am satisfied with the quality of tooth decay treatment that I received. | 1 | 2 | 3 | 4 | 5 |
3. I am satisfied with the amount of trust that I can place in my dentist. | 1 | 2 | 3 | 4 | 5 |
4. I am satisfied with how thorough my dentist was. | 1 | 2 | 3 | 4 | 5 |
5. I am satisfied with the treatment information and handouts provided. | 1 | 2 | 3 | 4 | 5 |
6. I am satisfied that my dentist understood my concerns. | 1 | 2 | 3 | 4 | 5 |
7. I am satisfied with the amount of information about my dental treatment that I received from my dentist. | 1 | 2 | 3 | 4 | 5 |
8. I feel free to make decisions about my dental problems. | 1 | 2 | 3 | 4 | 5 |
9. I am satisfied with the skill of my dentist. | 1 | 2 | 3 | 4 | 5 |
10. I am satisfied that I was able to ask questions about my dental treatment. | 1 | 2 | 3 | 4 | 5 |
11. I am satisfied with the cost of my treatment. | 1 | 2 | 3 | 4 | 5 |
12. I am satisfied that my dentist respects me as a person. | 1 | 2 | 3 | 4 | 5 |
13. I try to take my dentist's advice. | 1 | 2 | 3 | 4 | 5 |
14. The dentist seemed to know what he was doing during my visit. | 1 | 2 | 3 | 4 | 5 |
15. I will make changes to my lifestyle if they prevent getting a filling. | 1 | 2 | 3 | 4 | 5 |
16. The dentist should make the important dental decisions, not me. | 1 | 2 | 3 | 4 | 5 |
17. I am concerned about feeling pain when I go for dental care. | 1 | 2 | 3 | 4 | 5 |
18. I am satisfied with the friendliness of my dentist. | 1 | 2 | 3 | 4 | 5 |
19. Patients should know the cost of their treatment before the treatment begins. | 1 | 2 | 3 | 4 | 5 |
20. I avoid going to the dentist because I dislike pain. | 1 | 2 | 3 | 4 | 5 |
21. In general, the fees dentists charge are too high. | 1 | 2 | 3 | 4 | 5 |
22. I will choose the best treatment for my tooth decay, regardless of the possibility of feeling pain. | 1 | 2 | 3 | 4 | 5 |
23. Dentists should do more to reduce pain. | 1 | 2 | 3 | 4 | 5 |
24. Dentists avoid unnecessary patient expenses. | 1 | 2 | 3 | 4 | 5 |
25. My dentist tried to limit my fear and anxiety. | 1 | 2 | 3 | 4 | 5 |
26. I will choose the best treatment for my tooth decay regardless of cost. | 1 | 2 | 3 | 4 | 5 |
27. The dentist respected my opinion about my tooth decay treatment. | 1 | 2 | 3 | 4 | 5 |
28. I will choose the same treatment for tooth decay on another tooth. | 1 | 2 | 3 | 4 | 5 |
29. I am satisfied with the treatment I received. | 1 | 2 | 3 | 4 | 5 |
30. I prefer a filling because it is a quick fix for my tooth decay. | 1 | 2 | 3 | 4 | 5 |
31. I believe that a treatment to prevent a filling is better than getting a filling. | 1 | 2 | 3 | 4 | 5 |