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AvaDent EU
Customer Satisfaction Survey
We would like to make sure your needs and expectations are being met. Please take our brief 5-question survey.
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Name
*
First
Last
Company
Address
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
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California
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District of Columbia
Florida
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New Mexico
New York
North Carolina
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Ohio
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Pennsylvania
Rhode Island
South Carolina
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Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Layout
Phone
Email
*
Website / URL
How often do you use AvaDen'ts product?
Not Often
Somewhat Often
Often
On a scale from 0-10, how likely are you to recommend this product and service to a friend or colleague?
0
1
2
3
4
5
6
7
9
10
If you are having to make modifications to the final denture, what areas of the denture are you modifying?
Borders
Occlusion
Intaglio
Post Dam
Other
Other
Please rate the following areas of an AvaDent Digital Denture on a scale of 1 - 10 with 10 being Excellent and 1 being Poor.
1
2
3
4
5
6
7
8
9
10
Esthetics
1
Esthetics 1
2
Esthetics 2
3
Esthetics 3
4
Esthetics 4
5
Esthetics 5
6
Esthetics 6
7
Esthetics 7
8
Esthetics 8
9
Esthetics 9
10
Esthetics 10
Occlusion
1
Occlusion 1
2
Occlusion 2
3
Occlusion 3
4
Occlusion 4
5
Occlusion 5
6
Occlusion 6
7
Occlusion 7
8
Occlusion 8
9
Occlusion 9
10
Occlusion 10
Fit-Retention
1
Fit-Retention 1
2
Fit-Retention 2
3
Fit-Retention 3
4
Fit-Retention 4
5
Fit-Retention 5
6
Fit-Retention 6
7
Fit-Retention 7
8
Fit-Retention 8
9
Fit-Retention 9
10
Fit-Retention 10
Polished Surface
1
Polished Surface 1
2
Polished Surface 2
3
Polished Surface 3
4
Polished Surface 4
5
Polished Surface 5
6
Polished Surface 6
7
Polished Surface 7
8
Polished Surface 8
9
Polished Surface 9
10
Polished Surface 10
Delivery Time
1
Delivery Time 1
2
Delivery Time 2
3
Delivery Time 3
4
Delivery Time 4
5
Delivery Time 5
6
Delivery Time 6
7
Delivery Time 7
8
Delivery Time 8
9
Delivery Time 9
10
Delivery Time 10
Customer Service
1
Customer Service 1
2
Customer Service 2
3
Customer Service 3
4
Customer Service 4
5
Customer Service 5
6
Customer Service 6
7
Customer Service 7
8
Customer Service 8
9
Customer Service 9
10
Customer Service 10
Peripheral Border Extensions
1
Peripheral Border Extensions 1
2
Peripheral Border Extensions 2
3
Peripheral Border Extensions 3
4
Peripheral Border Extensions 4
5
Peripheral Border Extensions 5
6
Peripheral Border Extensions 6
7
Peripheral Border Extensions 7
8
Peripheral Border Extensions 8
9
Peripheral Border Extensions 9
10
Peripheral Border Extensions 10
Technical Communications
1
Technical Communications 1
2
Technical Communications 2
3
Technical Communications 3
4
Technical Communications 4
5
Technical Communications 5
6
Technical Communications 6
7
Technical Communications 7
8
Technical Communications 8
9
Technical Communications 9
10
Technical Communications 10
Please tell us how AvaDent can improve:
I accept all the Terms, Policies and Privacy Statements. The information in this contact form is needed and used to improve Customer Satisfaction.
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For questions or comments, email us at info@avadent.com
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