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Feedback Form

Feedback Page

"Feedback is the breakfast of champions!" - Ken Blanchard

Please use this page to provide feedback on our performance and how our services are matching your expectations. We value your feedback and suggestions and if so desired we can discuss any of the issues arising. To complete the online form should take a few minutes of your valuable time.

Feedback Questionnaire
Your name:
Practice:
Samera's service offering applicable to you:
You have been a client since:

Please tell us what you think about us

How would you compare our service with that of your previous accountants/consultants?
Poor Similar Good Exceptional

How would you rate our service standards compared to what you anticipated?
Poor Similar Good Exceptional

How would you rate our responsiveness to your queries and requests?
Poor Similar Good Exceptional

Do we always meet your deadlines and time frames?
Never Sometimes Regularly Always

How well do we understand your specific needs?
Poorly OK Good On the spot

 What is our impact on your practice and your work methods in general?
Poor OK Good Brilliant
 
Would you recommend our services to your colleagues or friends?
Never Maybe Occasionally Always

How would you rate your satisfaction with the service you receive from Samera from 1-5 (where 5 is high)

1 2 3 4 5

What could we improve upon?


Have you been disappointed with any aspect of our service?
 Please give details:


Are there any other services you feel we should be offering our clients?


What has been of least value whilst working with Samera?


If you were going to tell someone about your experience with Samera, what would you say?

About you

How did you first hear about Samera?

Internet search
Exhibition
Talk or seminar
Recommendation
Written articles
Referral
Advertisement
Other

Please list any dental publications you read on a regular basis (e.g. BDJ, Dentistry Magazine etc)


Please list any dental organisations you are a member of (e.g. BACD, BAAD etc)

Please list any dental seminars/exhibitions you are planning to attend in 2008 (e.g. BDA conference, FMC seminars etc)





Thank you very much for sparing your time to complete this feedback questionnaire.
We will use it in developing our services for you, our existing clients and our new clients.

     
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