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Discrimination questionnaire

Doctor's Fullname

Evaluate the following types of tasks from 1-5, where: 1 not at all satisfied, 5 a lot satisfied.

A) Immovable prosthetics

Metal-ceramic restorations
Implant restorations
Zirconium restorations
All-ceramic restorations e.max
Bio HPP

B) Mobile prosthetics

Implant restorations
Zirconium restorations
All-ceramic restorations e.max
Bio HPP
Partial denture
Dentures
Thermoplastic partial denture
Closing splints

Evaluate our services

Ease of communication
1
2
3
4
5
1: Not at all satisfied /5: very satisfied
Problem Solving - Complaints
1
2
3
4
5
1: Not at all satisfied /5: very satisfied
Consistency
1
2
3
4
5
1: Not at all satisfied /5: very satisfied
Fiscal policy
1
2
3
4
5
1: Not at all satisfied /5: very satisfied
Modern techniques / Technological equipment
1
2
3
4
5
1: Not at all satisfied /5: very satisfied
Adequate information from the laboratory on new technologies and materials
1
2
3
4
5
1: Not at all satisfied /5: very satisfied

Prioritize the following services (where 1: important, 5: less important), based on the needs and requirements of your practice.

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