Building Spectacular Surveys: Example Questions


Got a little bit of writer's block when it comes to Surveys? Below are some great starter questions you can use to get your patients' feedback and have them engaged in your Rewards Hub.


Survey Starter Pack

"Choose your Response" Surveys
Great for getting quick, precise feedback on particular areas of interest, these kinds of surveys generally inspire higher response rates since they can be answered in just a few seconds. Just be sure to let patients who they can contact if they'd like to provide a more detailed response! 

  1. The American Association of Orthodontics recommends that a child's first visit to the orthodontist take place at what age?
      1. 7
      2. 12
      3. 14
      4. 10

  2. How many friends do you have that come to our office?
      1. 1-2
      2. 3-4
      3. 5+
      4. Everyone I know comes here for great care!

  3. How do you rate our office in terms of overall service, friendliness, comfort, fun and treatment results?
      1. Extremely satisfied! Keep up the great job
      2. Satisfied - It’s going well
      3. Would like to see improvement

  4. How did you hear about our office?
      1. Referral from a Friend
      2. Dental Referral
      3. Advertisement
      4. Internet Search, Other

  5. How far do you live from our office?
      1. 1-2 miles
      2. 3-4 miles
      3. 5-10 miles
      4. 10+ miles

  6. When deciding which orthodontic practice to use, what was the most important?
      1. Location
      2. Price
      3. Results
      4. Doctor/Staff Relationship

  7. Do you always smile for a picture?
      1. Of course!
      2. Depends on how I’m feeling
      3. I’m not actually sure…

"Provide your Response" Surveys
Open-ended surveys like the ones below allow your patients to provide you with detailed feedback, personal insights, stories, and more. Because they involve more time and consideration than multiple choice surveys, though, they may work better with patients ages 12 and up.

  1. What is your favorite summer activity?
  2. What do you like most about our practice?
  3. Do you have a Facebook page? If so, have you liked us yet? (It’s really easy: just go the Earn Points section in your Hub, LIKE us, and get free points!)
  4. What is your favorite part of visiting the office?
  5. What kind of fun theme weeks would you like to see?
  6. What type of prizes make you excited to enter our contests?
  7. Can you name all our assistants in the back?
  8. In what year did Dr. _____ start his/her practice?
  9. If you wear braces, how long should you be brushing your each time your brush?
  10. It feels like spring outside, and baseball season is starting up soon. Which is your favorite team?
  11. What is your favorite holiday?
  12. Are you happy to be back at school? What’s your favorite subject?
  13. What type of (Hub) contests do you like participating in most?
  14. Summer is coming quick... What would your dream vacation be?
  15. If you were a Ben and Jerry's ice-cream flavor, what would it be?
  16. What is your favorite Ice Cream Flavor?
  17. Which charitable organization do you think we should contribute to?
  18. What is everyone's favorite past time?
  19. Who do you think will win the Superbowl next?
  20. What is your favorite part of the holidays?
  21. If you could only get 1 gift this holiday season, what would it be?
  22. We are coming to the end of another year. What was your favorite song this year?
  23. What was your favorite thing you did this year?
  24. Have you downloaded the Patient Rewards Hub Mobile App? It's easy, just go to the App Store or the Google Play Store and search for the Patient Rewards Hub. Once you login, you'll have easy access to the contests, messages, and Rewards!
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