Patient Survey
We appreciate you taking the time to complete our survey. Please feel free to comment on your visit as well. Any comments you choose to make are kept strictly confidential and can only help us become better in the future.
We appreciate you taking the time to complete our survey. Please feel free to comment on your visit as well. Any comments you choose to make are kept strictly confidential and can only help us become better in the future.
Patient name |
E-mail address |
How would you rate your overall visit? |
When your appointment was over did you have a good understanding of your dental situation? |
Were your financial options explained to you? |
Did you have to wait over 15 minutes past your appointment time to be seated? If so how long? |
Did the staff greet you properly? |
Would you refer your friends and family to us? |
Please comment on how we could make your visit better, new services you would like to see, or other ways we can make you feel more comfortable. |