Q01
Message
All templatesHealthcare & Clinical
Dental Plan Member Experience Survey (CAHPS-Style)
A CAHPS-style survey for dental insurance plans, measuring how easy it was to find a dentist, get timely care, and get help from customer service, plus an overall plan rating. An AI follow-up interview digs into the story behind that rating so plan administrators know exactly what to fix.
Sample questions
A preview of what’s in the template. Every question is editable before you launch.
14 questions · ~7 min
Q02
Multiple ChoiceRequired
How long have you been enrolled in your current dental plan?
- Less than 6 months
- 6 months to 1 year
- 1 to 3 years
- More than 3 years
Q03
Multiple ChoiceRequired
In the last 6 months, how many times did you visit a dentist or dental specialist?
- None
- 1 visit
- 2-3 visits
- 4 or more visits
Q04
Opinion Scale
In the last 6 months, how easy was it to find a dentist in your plan's network who was accepting new patients?
Scale: 1 – 5
Min:Very difficultMax:Very easy
Q05
Opinion Scale
In the last 6 months, when you needed dental care, how easy was it to get an appointment as soon as you wanted?
Scale: 1 – 5
Min:Very difficultMax:Very easy
Q06
Matrix
In the last 6 months, how often did each of the following happen when you contacted your dental plan's customer service?
4 rows × 4 columns
- Representatives treated you with courtesy and respect
- Representatives gave you the information or help you needed
- You waited longer than you expected to speak with someone
- Written or online information about your benefits was easy to understand
Columns: Never · Sometimes · Usually · Always
Q07
Multiple Choice
In the last 6 months, did you have any problems with paperwork, claims, or being billed incorrectly for dental care?
- No problems
- Yes, one minor problem
- Yes, more than one problem
- Not sure / don't recall
Q08
Opinion ScaleRequired
Using a 0-10 scale, what number would you use to rate your dental plan overall?
Scale: 0 – 10
Min:Worst dental plan possibleMax:Best dental plan possible
Q09
AI Interview
Probe the reasoning behind the respondent's overall 0-10 rating of their dental plan: ask what specifically drove that number, anchoring on any network access, appointment wait, customer service, or claims/billing issues they mentioned earlier. If they reported a claims or billing problem, get the specifics of what happened and whether it was resolved. If the rating was low (0-6), ask what single change would move it up; if high (9-10), ask what they'd be most upset to lose.
Q10
Opinion Scale
How likely are you to recommend this dental plan to a friend or family member?
Scale: 0 – 10
Min:Not at all likelyMax:Extremely likely
Q11
Multiple Choice
In general, how would you rate your overall dental health?
- Excellent
- Very good
- Good
- Fair
- Poor
- Prefer not to say
Q12
Multiple Choice
What is your age range?
- 18-24
- 25-34
- 35-44
- 45-54
- 55-64
- 65 or older
- Prefer not to say
Q13
Multiple Choice
Is this dental plan provided through an employer, purchased individually, or through a government program (e.g., Medicaid/Medicare)?
- Employer-provided
- Purchased individually
- Government program (Medicaid/Medicare)
- Not sure
- Prefer not to say
Q14
Message
Thank you for sharing your experience! Your responses will be combined with other members' feedback to help improve access to dentists, customer service, and claims handling for this plan.
What’s included
AI follow-ups
Adaptive probes on open-ended answers that pull out detail a static form would miss.
Attention checks
Built-in safeguards against rushed answers and low-quality respondents.
AI-drafted copy
Wording, ordering, and branching written by the AI — tuned to your research goal.
Auto report
Themes, quotes, and a plain-English summary write themselves once responses come in.
How it compares
We reviewed the closest templates from other survey tools. Here’s what they do well — and where this template goes further.
Why this template
- Goes beyond static ratings with an AI follow-up interview that probes the reasoning behind each respondent's 0-10 overall plan rating, so administrators learn the 'why' not just the 'what'
- Covers the full CAHPS-style journey — network access, appointment timeliness, customer service contacts (via a matrix question), and claims/paperwork problems — before asking for an overall rating and likelihood to recommend
- Captures plan context (employer, individual, or other source) and respondent demographics (age range, self-rated dental health, tenure with plan) for proper segmentation of results
- Produces an automated report from combined structured and open-ended responses, with transparent prompts showing exactly how the AI follow-up was conducted
SurveyMonkey
CAHPS® Dental Plan Survey Survey TemplateA ready-to-field template directly modeled on the CAHPS dental plan survey standard, covering similar ground to ours (access, timeliness, customer service). It's a static questionnaire built on SurveyMonkey's established survey infrastructure and analytics dashboard. No mechanism is described for probing individual respondents further on their ratings.
What it does well
- Directly based on the recognized CAHPS dental plan survey framework
- Backed by SurveyMonkey's mature survey distribution and reporting tools
- Likely quick to deploy given its template-library format
Where it falls short
- Static question set with no adaptive follow-up — every respondent who rates their plan a 3 or a 9 gets the same fixed questions
- No voice AI interview option or guided screen-share tasks
- No published methodology showing how responses are scored or interpreted
QuestionPro
Dental Care Survey TemplateA general dental care survey template aimed at capturing patient/member feedback, built on QuestionPro's broader survey platform. It appears to be a standard fixed-question form rather than a CAHPS-aligned instrument specifically, and it doesn't publish methodology for how responses are analyzed. Useful as a generic starting point but not purpose-built for plan-level CAHPS-style benchmarking.
What it does well
- Part of a large, established survey template library
- Likely integrates with QuestionPro's existing analytics and dashboard features
- Flexible enough to be adapted for various dental care contexts
Where it falls short
- No adaptive AI interview to dig into the reasoning behind low or high ratings
- No voice-based interview or guided task options
- No transparent, publishable prompt methodology for how any qualitative follow-up (if present) is generated or scored
Ready to launch?
Open this template in the editor. Every part is yours to change before the first respondent sees it.
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