{"id":8606,"date":"2019-05-14T04:56:51","date_gmt":"2019-05-14T04:56:51","guid":{"rendered":"http:\/\/dentalsouth.com.au\/?page_id=8606"},"modified":"2019-05-14T06:16:43","modified_gmt":"2019-05-14T06:16:43","slug":"feedback","status":"publish","type":"page","link":"https:\/\/dentalsouth.com.au\/home-2-2\/feedback\/","title":{"rendered":"Feedback"},"content":{"rendered":"[vc_row type=&#8221;full_width_background&#8221; full_screen_row_position=&#8221;middle&#8221; equal_height=&#8221;yes&#8221; content_placement=&#8221;middle&#8221; scene_position=&#8221;center&#8221; text_color=&#8221;custom&#8221; custom_text_color=&#8221;#adadad&#8221; text_align=&#8221;left&#8221; top_padding=&#8221;3%&#8221; bottom_padding=&#8221;6%&#8221; color_overlay=&#8221;#ffffff&#8221; overlay_strength=&#8221;0.3&#8243;][vc_column column_padding=&#8221;padding-6-percent&#8221; column_padding_position=&#8221;all&#8221; background_color=&#8221;#ffffff&#8221; background_color_opacity=&#8221;1&#8243; background_hover_color_opacity=&#8221;1&#8243; column_shadow=&#8221;small_depth&#8221; width=&#8221;1\/1&#8243; tablet_text_alignment=&#8221;default&#8221; phone_text_alignment=&#8221;default&#8221; column_border_width=&#8221;none&#8221; column_border_style=&#8221;solid&#8221;][vc_column_text]We value your feedback and always strive for improvement. Please share with us your experience whether it be great or not so great.[\/vc_column_text]\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f8604-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"8604\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/home-2-2\/wp-json\/wp\/v2\/pages\/8606#wpcf7-f8604-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"8604\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.7\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f8604-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<div class=\"wpb_row vc_row-fluid vc_row full-width-section standard_section makeabooking\">\n\t<div class=\"row-bg-wrap instance-1\">\n\t\t<div class=\"col span_12\">\n\t\t\t<div class=\"vc_col-sm-12 wpb_column column_container vc_column_container col\">\n\t\t\t\t<p><label class=\"makeabooking_lbl\">YOUR NAME (required)<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col span_12\">\n\t\t\t<div class=\"vc_col-sm-6 wpb_column column_container vc_column_container col\">\n\t\t\t\t<p><label class=\"makeabooking_lbl\">PHONE (required)<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"your-phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-phone\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"vc_col-sm-6 wpb_column column_container vc_column_container col\">\n\t\t\t\t<p><label class=\"makeabooking_lbl\">EMAIL (required)<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col span_12\">\n\t\t\t<div class=\"vc_col-sm-6 wpb_column column_container vc_column_container col\">\n\t\t\t\t<p><label class=\"makeabooking_lbl doblbl\">DATE OF BIRTH (required)<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"date-birth\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-birth\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"vc_col-sm-6 wpb_column column_container vc_column_container col\">\n\t\t\t\t<p><label class=\"makeabooking_lbl doblbl\">DATE OF LAST VISIT (required)<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"date-visit\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-visit\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col span_12\">\n\t\t\t<div class=\"vc_col-sm-6 wpb_column column_container vc_column_container col\">\n\t\t\t\t<p><label class=\"makeabooking_lbl\">DENTIST<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"dentist\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"dentist\"><option value=\"Dr Jessica Manuela\">Dr Jessica Manuela<\/option><option value=\"Dr Imran Khan\">Dr Imran Khan<\/option><option value=\"Dr Jay Lung\">Dr Jay Lung<\/option><option value=\"Dr Phoebe Prowse\">Dr Phoebe Prowse<\/option><option value=\"Dr Adib Kashani\">Dr Adib Kashani<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"vc_col-sm-12 wpb_column column_container vc_column_container col\">\n\t\t\t\t<p>Please rate your experience from 1 to 5, 5 being superb:\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col span_12\">\n\t\t\t<div class=\"vc_col-sm-6 wpb_column column_container vc_column_container col\">\n\t\t\t\t<p><label class=\"makeabooking_lbl\">DID THE DENTIST AND STAFF TREAT YOU WITH DIGNITY AND RESPECT?<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"dignity\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"dignity\"><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><option value=\"5\">5<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"vc_col-sm-6 wpb_column column_container vc_column_container col\">\n\t\t\t\t<p><label class=\"makeabooking_lbl\">WAS THE TREATMENT COMFORTABLE?<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"comfortable\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"comfortable\"><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><option value=\"5\">5<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col span_12\">\n\t\t\t<div class=\"vc_col-sm-6 wpb_column column_container vc_column_container col\">\n\t\t\t\t<p><label class=\"makeabooking_lbl\">WAS THE CLINIC CLEAN?<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"clean\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"clean\"><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><option value=\"5\">5<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"vc_col-sm-6 wpb_column column_container vc_column_container col\">\n\t\t\t\t<p><label class=\"makeabooking_lbl\">WERE YOU HAPPY WITH YOUR TREATMENT OPTIONS?<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"options\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"options\"><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><option value=\"5\">5<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col span_12\">\n\t\t\t<div class=\"vc_col-sm-6 wpb_column column_container vc_column_container col\">\n\t\t\t\t<p><label class=\"makeabooking_lbl\">WAS THE DENTIST RUNNING ON TIME?<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"on-time\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"on-time\"><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><option value=\"5\">5<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"vc_col-sm-6 wpb_column column_container vc_column_container col\">\n\t\t\t\t<p><label class=\"makeabooking_lbl\">WILL YOU BE HAPPY TO RE-BOOK WITH OUR TEAM IN THE FUTURE? <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"re-book\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"re-book\"><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><option value=\"5\">5<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col span_12\">\n\t\t\t<div class=\"vc_col-sm-12 wpb_column column_container vc_column_container col\">\n\t\t\t\t<p><label class=\"makeabooking_lbl\">WOULD YOU RECOMMEND DENTAL SOUTH TO A FRIEND?<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"recommend\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"recommend\"><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col span_12\">\n\t\t\t<div class=\"vc_col-sm-12 wpb_column column_container vc_column_container col\">\n\t\t\t\t<p><label class=\"makeabooking_lbl\"><span class=\"wpcf7-form-control-wrap\" data-name=\"acknowledgement\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"acknowledgement[]\" value=\"I acknowledge that this feedback is confidential and will be used to improve the quality of care at Dental South.  I am a patient of Dental South or Dental South Bayview.  I understand that providing untrue or misleading information will be further investigated by the appropriate authorities.\" \/><span class=\"wpcf7-list-item-label\">I acknowledge that this feedback is confidential and will be used to improve the quality of care at Dental South.  I am a patient of Dental South or Dental South Bayview.  I understand that providing untrue or misleading information will be further investigated by the appropriate authorities.<\/span><\/span><\/span><\/span><br \/>\n<\/label>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col span_12\">\n\t\t\t<div class=\"vc_col-sm-12 wpb_column column_container vc_column_container col\">\n\t\t\t\t<p><label class=\"makeabooking_lbl\">ADDITIONAL FEEDBACK:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"additional-feedback\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"additional-feedback\"><\/textarea><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"row-bg-wrap instance-1\">\n\t\t<div class=\"col span_12\">\n\t\t\t<div class=\"vc_col-sm-12 wpb_column column_container vc_column_container col\">\n\t\t\t\t<p>&nbsp;\n\t\t\t\t<\/p>\n\t\t\t\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"SEND\" \/>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div><input type=\"hidden\" id=\"ct_checkjs_cf7_1c9ac0159c94d8d0cbedc973445af2da\" name=\"ct_checkjs_cf7\" value=\"0\" \/><script>setTimeout(function(){var ct_input_name = \"ct_checkjs_cf7_1c9ac0159c94d8d0cbedc973445af2da\";if (document.getElementById(ct_input_name) !== null) {var ct_input_value = document.getElementById(ct_input_name).value;document.getElementById(ct_input_name).value = document.getElementById(ct_input_name).value.replace(ct_input_value, '09626499c8f6b26278902d86590219ad9a3507e2d9e64be29a02d66c6c7b6cb9');}}, 1000);<\/script><input\n                    class=\"apbct_special_field apbct_email_id__wp_contact_form_7\"\n                    name=\"apbct__email_id__wp_contact_form_7\"\n                    aria-label=\"apbct__label_id__wp_contact_form_7\"\n                    type=\"text\" size=\"30\" maxlength=\"200\" autocomplete=\"off\"\n                    value=\"\"\n                \/><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n[\/vc_column][\/vc_row]\n","protected":false},"excerpt":{"rendered":"<p>[vc_row type=&#8221;full_width_background&#8221; 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