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Patient Survey

Your feedback is very important to us!  Please take a moment to fill out our patient survey:

When you telephoned our office to make an appointment, was our team member courteous and helpful in finding a suitable time?

Upon arriving at our office, were you greeted in a friendly manner and made to feel comfortable?

Were you seated by your appointment time or advised of any delays?

Did our team member listen and understand your concerns?

Did our team members take the time to adequately explain your treatment plan and answer any questions you may have had?

Did our team member take the time to explain your treatment plan and how your dental insurance would cover it? (please skip if you do not have dental insurance)

Did our team member discuss your payment options in order to make your dental treatment more affordable to you?

During your visit to our office, do you feel that the team members were concerned about your overall well being as a person, and not just your dental treatment?

Did the cleanliness of the office, as well as, the infection control meet with your expectations?

Would you recommend our practice to your family and friends?

If you answered YES or NO to ANY of the questions above, and want to explain further, please use the space below. Remember you do not have to submit your name or email address if you do not want to.


Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.