We appreciate your time in taking this short survey on our performance and your experience out this Dental Health practice. This helps us create better experiences for you the patient. All information is confidential. Thank You.
How would you rate your overall visit? Excellent Very Good Average Not Good
When your appointment was completed did you have a good understanding of your dental situation? Yes Not really I wish I knew more about my dental situation
Was your financial obligation explained to you? Yes No
Did you wait over 15 minutes past your scheduled appointment? If so, how long? No 15 - 30 minutes 30 - 45 minutes Over 45 minutes
Did our staff, including front desk, assistants and doctors greet you properly? Yes Not Really I don't recall
Would you refer a friend or family member to us? Yes No
Please comment on how we met your expectations or how me may make your visit better, service you would like offered, or other ways we can make you feel more comfortable.