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Facility Questionnarie

Thank you for your time to take this 1 minute questionnaire. We really appreciate your time to provide valuble information that can help develop Watagan Dental's Mobile Service. This will allow us to continue providing the best service mobile dental has to offer.

Are you happy with your current dental provider?
Yes
No

Denture Services

Does your current provider provide denture services?
Yes
No
If yes how long does it take for residents to get access to denture services after their inital appointment?
0-2 weeks
2-4 weeks
1-2 months
2-6 months
6+ months
How long would you expect is a reasonable timeframe to wait for denture services?
0-2 weeks
2-4 weeks
1-2 months
2-6 months
6+ months

Access to a Dentist for treatment.

Does your current provider provide a dentist for treatment?
Yes
No
If yes how long does it take for residents to get access to a dentist after their inital appointment?
0-2 weeks
2-4 weeks
1-2 months
2-6 months
6+ months
How long would you expect is a reasonable timeframe to wait for a dentist for treatment?
0-2 weeks
2-4 weeks
1-2 months
2-6 months
6+ months

Emergency Treatment

Do your residents ever suffer with dental pain?
Yes
No
If yes how long does it take for residents to get access to a dentist for pain relief?
0-2 weeks
2-4 weeks
1-2 months
2-6 months
6+ months
How long would you expect is a reasonable timeframe for a mobile service to provide pain relief procedures?
0-2 weeks
2-4 weeks
1-2 months
2-6 months
6+ months

Information about your residents

Do you have residents that can't travel for dental treatment?
Yes
No
What percent of your facility would be unable to access dental services in a dental clinic?
10%
30%
50%
75%
100%

Your insites are extremely appreciated. Please know that we value this feedback and hope that one day the time you spent filling out this form may translate into benefits for your residents.

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