Trusted Cosmetic & Family Dentists in Brighton, VIC

Opening Hours : Mon-Fri: 9am-5:30pm | Sat: 9am-1pm
  Contact : (03) 9593-1811

Customer Experience Survey

To maintain our commitment to deliver the best dental experience to our patients, we have prepared the following digital survey. It contains 11 short-answer questions which should take 2-5 minutes to complete.

Q1: How did you first hear about us?*
Social Media (e.g. Facebook)Search Engine (e.g. Google)Digital Directory (e.g. Yellow Pages)Word of MouthPassing ByInsurance CompanyRadio AdCommunity NewsletterOther (please specify below)

Q2: How long have you been a patient with Lifestyle Smiles?*
I'm a new patient (never visited your clinic before)Less than 1 year1-2 years3-4 years5-9 years10+ years

Q3: What made you choose Lifestyle Smiles?* (Please select all that apply)
Great serviceLocationQuality of workFriendly staffPriceLatest dental technologyReviews from other patientsOther (please specify below)

Q4: How often do you visit the dentist?*
QuarterlyEvery 6 monthsYearlyOnly when I experience painOther (please specify below)

Q5: How do you rate us in the following areas? (Please select a rating for each item)
Location of our clinic*
Opening hours*
Friendliness of staff*
Skill of Hygienist and support staff*
Skill of your Dentist*
Pain management*
Cost of treatments*
Handling of insurance claims*
Providing you with information about your dental care*
Your treatment options being explained well*
Informing you of new treatments and technologies we provide*

Q6: In which areas does our staff make you feel comfortable?* (Please select all that apply)
ConvenienceOrganisationMaking you feel specialValueFinancial arrangementsHygiene treatmentUnderstanding of our sterilisation practicesWaiting timeServiceManagement of discomfortQualityCommunicationOther (please specify below)

Q7: Would you recommend your friends or family to Lifestyle Smiles?*
Yes, definitelyNoMaybe (please specify below)

Q8: What is the best way to communicate with you our new services and promotions?* (Please select all that apply)
EmailNewspaper adMailPhone callText message (to mobile phone)Other (please specify below)

Q9: Which dental treatment(s) interest you?* (Please select all that apply)
Cosmetic DentistryTeeth WhiteningTeeth Straightening (aka Orthodontics)Dental RestorationVeneersDenturesCrowns & BridgesGuided Implant SurgeryInvisalignInman AlignerDental SedationSame-day Dental RestorationOther (please specify below)

Q10: Is there something we could do to say "thank you" for referring family and friends to our clinic?* (please select all that apply)
No need to do anythingTickets to a sporting eventGift certificate to local restaurantDiscount off dental servicesGift certificate to local salonGift certificate for dental servicesFree dental hygiene productsOther (please specify below)

Q11: Is there anything else we could do to improve your dental experience with us?

Great, we're almost done ...

Thank you for taking the time to complete the survey. Please provide your contact details so that we may keep in touch!



We respect your privacy. By submitting this survey, you accept that all information is collected confidentially in accordance with our Privacy Policy and website Terms of Use. The competition is governed by Terms & Conditions.