Customer Satisfaction Survey

Name *

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Last

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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?

If you are having to make modifications to the final denture, what areas of the denture are you modifying?

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	1Esthetics 1	2Esthetics 2	3Esthetics 3	4Esthetics 4	5Esthetics 5	6Esthetics 6	7Esthetics 7	8Esthetics 8	9Esthetics 9	10Esthetics 10
Occlusion	1Occlusion 1	2Occlusion 2	3Occlusion 3	4Occlusion 4	5Occlusion 5	6Occlusion 6	7Occlusion 7	8Occlusion 8	9Occlusion 9	10Occlusion 10
Fit-Retention	1Fit-Retention 1	2Fit-Retention 2	3Fit-Retention 3	4Fit-Retention 4	5Fit-Retention 5	6Fit-Retention 6	7Fit-Retention 7	8Fit-Retention 8	9Fit-Retention 9	10Fit-Retention 10
Polished Surface	1Polished Surface 1	2Polished Surface 2	3Polished Surface 3	4Polished Surface 4	5Polished Surface 5	6Polished Surface 6	7Polished Surface 7	8Polished Surface 8	9Polished Surface 9	10Polished Surface 10
Delivery Time	1Delivery Time 1	2Delivery Time 2	3Delivery Time 3	4Delivery Time 4	5Delivery Time 5	6Delivery Time 6	7Delivery Time 7	8Delivery Time 8	9Delivery Time 9	10Delivery Time 10
Customer Service	1Customer Service 1	2Customer Service 2	3Customer Service 3	4Customer Service 4	5Customer Service 5	6Customer Service 6	7Customer Service 7	8Customer Service 8	9Customer Service 9	10Customer Service 10
Peripheral Border Extensions	1Peripheral Border Extensions 1	2Peripheral Border Extensions 2	3Peripheral Border Extensions 3	4Peripheral Border Extensions 4	5Peripheral Border Extensions 5	6Peripheral Border Extensions 6	7Peripheral Border Extensions 7	8Peripheral Border Extensions 8	9Peripheral Border Extensions 9	10Peripheral Border Extensions 10
Technical Communications	1Technical Communications 1	2Technical Communications 2	3Technical Communications 3	4Technical Communications 4	5Technical Communications 5	6Technical Communications 6	7Technical Communications 7	8Technical Communications 8	9Technical Communications 9	10Technical Communications 10

Please tell us how AvaDent can improve:

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