Dental Patient
Satisfaction Template

{
  "title": "Dental Patient Experience Survey",
  "questions": [
    {
      "type": "emoji_scale",
      "question": "How comfortable did you feel during your visit?",
      "options": [
        {"emoji": "😞", "label": "Anxious"},
        {"emoji": "😐", "label": "Okay"},
        {"emoji": "😊", "label": "Very Comfortable"}
      ]
    },
    {
      "type": "scale_4",
      "question": "Did we clearly explain your treatment options?",
      "options": ["Not at all", "Somewhat", "Mostly", "Very clearly"]
    },
    {
      "type": "emoji_scale",
      "question": "How was the cleanliness of our office?",
      "options": [
        {"emoji": "😞", "label": "Poor"},
        {"emoji": "😐", "label": "Routine"},
        {"emoji": "✨", "label": "Immaculate"}
      ]
    },
    {
      "type": "choice",
      "question": "Will you continue choosing us for your dental care?",
      "options": ["Not sure", "Probably", "Definitely!"]
    },
    {
      "type": "multiselect",
      "question": "What's the most important thing we could improve?",
      "options": [
        "💼 Scheduling", "⏰ Wait times", "💊 Comfort/numbing",
        "🎯 Communication", "😊 Staff friendliness", "📝 Other (write in)"
      ]
    },
    {
      "type": "text",
      "question": "Share your complete experience:",
      "placeholder": "Compliments, concerns, or suggestions welcome! (Optional)"
    }
  ]
}