Patient Satisfaction Survey

In a continuing effort to better serve our patients, we would appreciate a few moments of your time to complete our survey. Your input is important to us.

Were your calls (if any) to the office answered promptly and courteously?	Yes No
Were you able to schedule an appointment at a time and day convenient to you?	Yes No
Were you greeted and treated in a friendly and professional manner? Was the staff helpful in assisting you through your entire visit to our office?	Yes No
Were all of your questions answered regarding your particular problem?	Yes No
If you had any billing questions or problems, was the staff helpful and knowledgeable?	Yes No
Please feel free to use the space below for any concerns, suggestions or comments you feel would improve our service to you. Your feedback will enable us to improve the delivery of only the finest in family and cosmetic dental services.
Your name or e-mail address (optional):
Thank you!