survey of dental practice

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Survey of dental practice

Survey of Dental Practice

About the survey taker

Are you employed or are you a dental office owner?
If you have indicated "employed," what is your function?

About your Dental Office

How many employees do you have, full time?
How many employees do you have, part time?
How long has your office been established?
Dental categories practiced at your office:
General and Family Dentistry
Cosmetic Dentistry
Orthodontic Dentistry
Podiatric Dentistry
Periodontic Dentistry
TMJ Dental Clinic
Other speciality

Promoting you Dental Clinic

Does your office accept new patients?

Yes	No

If you have answered "YES"

If YES, what do you see as most important media to reach new patients:

Are you actively promoting your dental services?

Yes	No

Word of mouth (Referral):

YES	NO

Print Media Ads

YES	NO

Radio Ads

YES	NO

TV Ads

YES	NO

Online Advertising

YES	NO

Web site

YES	NO

Social media

YES	NO

Web site information

Do you have Web site for your dental office?

YES	NO

If NOT, are you planning to have one?

YES	NO

If you have Web site:

Check which functions are important:

Inform current patients

Inform prospective patients

Provide ability to request appointment from the web site

Provide ability to schedule appointments from the web site

Provide ability for new patients to submit Health Information Online

Provide ability for patients to login and update their record with us online

Your approximate web design budget

Your approximate web promotion budget

Is SEO (Search Engine Optimization) important for your Web site?

YES	NO

Do you use Google AdWords or any other PPC program?

YES	NO

Mobile Web site

Do you have a .mobi Web site

YES	NO

Are you familiar with benefits of .mobi (mobile) Web site for your office?

YES	NO

Computer in your office

Do you have a computer system in your office?

YES	NO	NOT YET, but planning it

If you have a computer, continue here:

Do you have an Office Management Software?

YES	NO

Which management software do you use?

Do you have computer monitors next to the dental chairs?

YES	NO

Which functions do you use your computer for?

Receptionist schedules appointments:

Keeping the patient's health records.

Patient's billing:

Call patients to remind appointment:

Send email appointment reminders

Send SMS appointment reminders

Send newsletters:

Other:

How many iPhones, BlackBerries or other Web phones do you have among your staff?

Do you communicate with your patients using any Web phones?

YES	NO

About Appointments with Patients

How do you handle calls to your office, after regular office hours?

Automated telephone answering machine:

Live answering service:

Message on answering machine - to call us back:

Accept Emails:

Web site has a contact information:

We have an automated appointment scheduling via phone:

We have an automated appointment scheduling via Web site:

We are looking for ways to improve:

Do you accept Patient's Health Information before their first visit to the office?

Many patients have BlackBerris, iPhones or other Web phones:

Do you keep a record among your patients?

YES	NO

About Technology and Innovations

Our office attitude about Automated Office Function Vs. Live Person

Please rate on scale 1 to 10.

1 is for your strong AGREE and 10 for strong DISAGREE.

Automated appointment scheduling system can never replace friendly touch of our live receptionists

AGREE

1	2	3	4	5	6	7	8	9	10

We would like to do automated patients scheduling only, when our office is closed.

AGREE

1	2	3	4	5	6	7	8	9	10

We think that anything new might interfere with our present management software program.

AGREE

1	2	3	4	5	6	7	8	9	10

We are concerned about security of patient information.

AGREE

1	2	3	4	5	6	7	8	9	10

We are not sure if our patients would accept it.

AGREE

1	2	3	4	5	6	7	8	9	10

We would like to automate patients appointment scheduling, providing...

AGREE

1	2	3	4	5	6	7	8	9	10

Providing (fill the blanks)

More about person taking the survey

First name
City and Country of your office.
if you would like to be contacted, provide email:
Thank you very much for your time taking this survey and providing us with some valuable information!