We are committed to the continual improvement in the care we give our patients. Your response to the following questions will let us know how we can serve all our patients better. Check the number that most accurately represents your responses.
1. Upon arrival I was greeted courteously.
5 - Exceptional 4 3 - Good 2 1 - Needs Improvement
2. I was seated by my appointment time or was advised of any delays.
3. I felt the doctor and team listened and understood my dental concerns.
4. I felt that everyone was concerned about my total well-being as a person, not just my dental needs.
5. I feel I understand the treatment prescribed and all of my questions were answered to my satisfaction.
6. Payment options were discussed and financial arrangements were made for all treatments.
7. Please rate the overall courtesy and friendliness of the doctor and dental team.
8. Please rate your overall comfort level in the office.
9. The reception area, restroom and treatment rooms were clean and comfortable.
10. I look forward to recommending this office to family and friends.
11. Are there any team members you would like to recognize for outstanding care or service?
12. Additional Comments:
