Patient Feedback Survey

  • How did you hear about the UIC Colldge of Dentistry? (Check One)
  • Is this your first visit at the College? (Check One)
  • What type of appointment did you have?
  • Please select the clinic where you received treatment:
  • Why did you choose the UIC College of Dentistry for dental care? (Check One)
  • Arrival and Registration: On a scale of 1 to 4 please mention how easy was obtaining information before coming to college.
  • Arrival and Registration: On a scale of 1 to 4 please mention if your waiting time to register was reasonable
  • Arrival and Registration: Staff made every attempt to keep my information private during discussions
  • Arrival and Registration: The process was clearly explained to me.
  • Arrival and Registration: Registration staff treated me with dignity and respect.
  • Treatment: The waiting time for my clinical provider to seat me was reasonable.
  • Treatment : My provider treated me with dignity and respect
  • Treatment: My provider listened to my concerns and addressed them.
  • Treatment: The time between becoming a patient and starting treatment met my expectations.
  • Treatment: I understood the treatment procedures before they were started.
  • Treatment: I am satisfied with the work performed.
  • Treatment : The providers had good infection control practices (hand washing, used gloves, wore a gown, etc.)
  • Treatment : My provider treated me with dignity and respect
  • Payment and Fees : The fees were clearly explained
  • Payment and Fees : The bill/receipt was easy to understand.
  • Payment and Fees : Payment discussion was kept private so others would not overhear.
  • Payment and Fees : Fiscal clerks treated me with dignity and respect.
  • Overall Experience : I feel confident that I will receive high quality dental care at the College.
  • Overall Experience : The College was clean.
  • Overall Experience : I felt that my individual needs were considered while accessing and receiving treatment at the College.
  • Overall Experience : The people at the College were polite and professional.