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Dental Hygiene Patient Treatment Survey 2021

The St. Petersburg College School of Dental Hygiene is committed to improving patient satisfaction.

Please take a few minutes to complete this survey. This will assist us in providing quality patient care while maintaining high educational standards. We thank you for your input.

1
Ethnicity/Race: Please indicate below
2
Are you a veteran or have military status?
3
How many people are in your household (including you)?
*4
What is your household income?
5
How long have you been a patient at our clinic?
6
How did you hear about the St. Petersburg College Dental Hygiene Clinic?
7
When are you scheduled to return to our clinic?
8
If you will not be returning to our clinic, please explain below.
9
Do you have dental insurance?
10
If yes, do you feel your dental insurance is adequate for your needs?
11
How often do you visit your regular dental office?
12
Were you referred to your dentist for an annual exam/additional treatment?
13
If you answered YES to question 12, do you plan to seek comprehensive oral health treatment?
14
Were you treated courteously by the student hygienist, clinic instructors and front office staff?
15
If not, please explain below.
16
Do you feel that you experienced a high quality dental hygiene treatment?
17
If not, please explain below.
18
Do you have any comments, issues or concerns that you would like to make us aware of? If so, please explain below.

Our administration, staff, faculty, and students appreciate that you have taken the time to complete this survey.

 

If you have comments about this survey or questions regarding how to complete this survey, please contact Joan Tonner at Tonner.Joan@spcollege.edu or call (727)341-3671.

The Board of Trustees of St. Petersburg College affirms its equal opportunity policy in accordance with the provisions of the Florida Educational Equity Act and all other relevant state and federal laws, rules and regulations. The college will not discriminate on the basis of race, color, ethnicity, religion, sex, age, national origin, marital status, pregnancy, sexual orientation, gender identity, genetic information, or against any qualified individual with disabilities in its employment practices or in the admission and treatment of students. Recognizing that sexual harassment constitutes discrimination on the basis of sex and violates this Rule, the college will not tolerate such conduct. Should you experience such behavior, please contact the Title IX Coordinator and EEO Officer at 727-341-3055; by mail at P.O. Box 13489, St. Petersburg, FL 33733-3489; or by email at eaeo_director@spcollege.edu or spctitleix@spcollege.edu.