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Dental Survey

We strive to offer the very best in patient care. In order to provide that care, we turn to our patients for advice. Please take a moment to complete the patient survey below. This info will be used to improve our services.  Thanks for your time & participation.

This question is required

  1. Did our treatment coordinators (receptionists) give you courteous, caring attention
Poor
Fair
Okay
Good
Great
This question is required

  1. Degree to which your concerns were addressed by either our staff or our doctor
Poor
Fair
Okay
Good
Great
This question is required

  1. Length of time you had to wait before you were seated
Poor
Fair
Okay
Good
Great
This question is required

  1. Cleanliness/neatness of our office
Poor
Fair
Okay
Good
Great
This question is required

  1. Ease of scheduling your appointment
Poor
Fair
Okay
Good
Great
This question is required

  1. Friendliness of our office staff
Poor
Fair
Okay
Good
Great
This question is required

  1. Friendliness of the doctor
Poor
Fair
Okay
Good
Great
This question is required

  1. Quality of the service performed
Poor
Fair
Okay
Good
Great
This question is required

  1. Would you recommend our dental office to your family members, co-workers & Friends
Poor
Fair
Okay
Good
Great
This question is required

  1. How would you rate your overall experience with our office
Poor
Fair
Okay
Good
Great








 
 
 
 

Dental Services

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