Dental Hygiene Clinic Survey

Please complete this patient care survey. The information you provide will assist us in assessing and evaluating the clinical educational objectives of the dental hygiene program. Thank you.

Clinic
My student dental hygienist called to confirm my appointment.

My student dental hygienist called to confirm my appointment. Yes No
My student dental hygienist directed me to the HVCC Dental Hygiene Clinic website to review clinic policies, HIPAA and Patient Bill of Rights prior to my appointment.

My student dental hygienist directed me to the HVCC Dental Hygiene Clinic website to review clinic policies, HIPAA and Patient Bill of Rights prior to my appointment. Yes No
When you arrived at the reception desk, were you greeted in a friendly and professional manner?

When you arrived at the reception desk, were you greeted in a friendly and professional manner? Yes No
Please explain
Did your student dental hygienist inform you of the condition of your oral health?

Did your student dental hygienist inform you of the condition of your oral health? Yes No
If you had radiographs taken, did the dentist and student dental hygienist review the findings with you?

If you had radiographs taken, did the dentist and student dental hygienist review the findings with you? Yes No
Did your student dental hygienist explain your care plan before you signed for consent?

Did your student dental hygienist explain your care plan before you signed for consent? Yes No
Were you asked about your preferred way to care about your teeth and your overall oral health?

Were you asked about your preferred way to care about your teeth and your overall oral health? Yes No
Were you shown toothbrushing and interdental aid techniques to improve your oral health?

Were you shown toothbrushing and interdental aid techniques to improve your oral health? Yes No
Did your student dental hygienist provide you with a brochure that identifies a summary of services, oral self-care recommendations and your continued care recommendations?

Did your student dental hygienist provide you with a brochure that identifies a summary of services, oral self-care recommendations and your continued care recommendations? Yes No
Do you feel you received professional and competent dental hygiene care by the student dental hygienist?

Do you feel you received professional and competent dental hygiene care by the student dental hygienist? Yes No
Please explain
Would you return for dental hygiene services at the Hudson Valley Community College Dental Hygiene Clinic?

Would you return for dental hygiene services at the Hudson Valley Community College Dental Hygiene Clinic? Yes No
Please explain
What has been the most rewarding aspect of receiving dental hygiene care at the Hudson Valley Community College Dental Hygiene Clinic?

What has been the most rewarding aspect of receiving dental hygiene care at the Hudson Valley Community College Dental Hygiene Clinic? Friendliness of Students & Staff Professionalism of Students & Staff Rewarding Experience Value Helping Students Achieve Professional Goals Quality Professional Treatment Techniques for Home Care Other
Did the Dental Hygiene Clinic support an environment of diversity, equity, inclusion and well-being?

Did the Dental Hygiene Clinic support an environment of diversity, equity, inclusion and well-being? Yes No
Please explain
Would you recommend our services to your family, friends and community members?

Would you recommend our services to your family, friends and community members? Yes No
What suggestions do you have to help us improve the Hudson Valley Community College Dental Hygiene Clinic’s dental hygiene services that are provided to the community?
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