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PROMS Survey for Dentures (Before)
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proms survey for dentures before
Page Content
Patient-Reported Outcome Measures for Dentures (Before)
2 mins
estimated time to complete
Instructions
Thank you for choosing treatment at National Dental Centre Singapore. As part of our efforts to continuously improve our service, we would like to find out more about your experience with us.
Please answer the following questions by choosing the most relevant option on the scale.
Please select only
one
response for each question. Thank you!
Visit Date
This is a required field.
Please enter a valid date.
4 Digit Queue Ticket Number
This is a required field.
Section A. Patient-Reported Outcome Measures
What is your level of satisfaction with your current oral condition?
Totally dissatisfied
Dissatisfied
Neutral
Satisfied
Totally satisfied
This is a required field.
Are you satisfied with your ability to chew with your denture or current oral condition?
Totally dissatisfied
Dissatisfied
Neutral
Satisfied
Totally satisfied
This is a required field.
How satisfied are you with the appearance of your teeth?
Totally dissatisfied
Dissatisfied
Neutral
Satisfied
Totally satisfied
This is a required field.
How satisfied are you with speech?
Totally dissatisfied
Dissatisfied
Neutral
Satisfied
Totally satisfied
This is a required field.
How satisfied are you with carrying out social activities with your current oral condition? (E.g. interacting with others, going out for meals etc.)
Totally dissatisfied
Dissatisfied
Neutral
Satisfied
Totally satisfied
This is a required field.
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