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AMA COMPUTER COLLEGE – FAIRVIEW

BLOCK 61, LOT 28-31 BRISTOL ST. COR BRGY.


NORTH FAIRVIEW QUEZON CITY
TEL. # (02) 8921 1115
_______________________________________________________________
Online Dental Management System with SMS Notification and Chatbot for Sta.
Maria Dental Clinic
Survey Form

Greetings!

Our student group from AMA Computer College Fairview Branch is currently
conducting a survey for an IT Capstone Project aptly named “Online Dental
Management System with SMS Notification and Chatbot for Sta. Maria Dental
Clinic”. Wherein the purpose of said research is to develop an online scheduling,
appointment, and management system for Sta. Maria Dental Clinic.

Bearing in mind of the situation, we would like to cordially extend a warm


invitation to you to participate in our survey. The researchers are amicably requesting
for your valuable time and effort to fully and honestly respond and/or answer to all of the
survey’s questions. As we assure you that all collected information and data will be
treated with utmost care, confidentiality and only be used purely for research purposes.

We sincerely appreciate your cooperation.

Full Name: Uann A. Tulayan

Age: 19

Sex: ☐ Male

☑ Female

Email Address: uanntulayan@gmail.com

Contact Number: 09774861034

Time and Date: 6:18 Aug. 03, 2023

Branch Location: ☑ Fairview (43 Camilo Osias Street, New Haven Village, Novaliches Q.C.)

☐ Malabon (168 Gen. Luna Street, Malabon, Metro Manila)


AMA COMPUTER COLLEGE – FAIRVIEW
BLOCK 61, LOT 28-31 BRISTOL ST. COR BRGY.
NORTH FAIRVIEW QUEZON CITY
TEL. # (02) 8921 1115
_______________________________________________________________
Procedure: ☑ Braces ☐ Crown/Veneer ☐ Root Canal Treatment

☑ Cleaning ☐ Dental Implant ☐ Surgery

☐ Consultation ☐ Extraction ☐ Teeth Whitening

☐ Clear Aligners ☐ Pasta / Filling ☐ X-Ray

Directions: Please indicate your response as to whether you strongly disagree,


disagree, neutral, agree or strongly agree. Answer the following questions with your
full honesty.

Strongly
Disagree Strongly
Disagree Neutral (3) Agree (4)
(2) Agree (5)
(1)

1.Attractiveness

The system’s
design and color
look appealing and
☐ ☐ ☐ ☐ ☑
appropriate for its
intended purpose.

2.Usability

The system is easy


to navigate and ☐ ☐ ☐ ☐ ☑
operate for new
users.

3.Understandability

The system makes


scheduling for a ☐ ☐ ☐ ☐ ☑
dental appointment
easier.

4. Portability

The system can


run under any
operating system
☐ ☐ ☐ ☐ ☑
that can run any
browser.
AMA COMPUTER COLLEGE – FAIRVIEW
BLOCK 61, LOT 28-31 BRISTOL ST. COR BRGY.
NORTH FAIRVIEW QUEZON CITY
TEL. # (02) 8921 1115
_______________________________________________________________
5. Accuracy

The system
provides output ☐ ☐ ☐ ☐ ☑
and results without
errors.

6. Security

The system is
secure and
☐ ☐ ☐ ☐ ☑
trustworthy.

7. Functionality

The system is ☐ ☐ ☐ ☐ ☑
functionally good.

8. Efficiency

The system can


help automate the ☐ ☐ ☐ ☐ ☑
business'
operations.

9. Reliability

The majority of the


system’s features
☐ ☐ ☐ ☐ ☑
works as intended.

10. Resource
Utilization

The system
provides quick
loading times and
☐ ☐ ☐ ☐ ☑
immediate
processing on
necessary data.

This figure is the home page of the Sta. Maria Dental Clinic and you can access it via
this link: https://stamariadentalclinic.site

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