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Patient Satisfaction Survey

Please take a moment to tell us about your visit. This will help us continue to improve and better meet your needs.

When you enter our office for a dental appointment, do you receive a friendly greeting from thee receptionist and/or other members of the office staff?
AlwaysUsuallyRarelyNever
When you call to make or change an appointment, is the office staff polite, courteous, and helpful in finding you an available appoinment date and time?
AlwaysUsuallyRarelyNever
Does the dentist and assistants take an adequate amount of time to explain your proposed treatment, ensure that you understand, and take time to answer your questions??
AlwaysUsuallyRarelyNever
When you visit our office, how long do you usually wait in the reception area (after the scheduled time of your appointment) before you are seated in the dental chair?
Little or No Time1-10 Minutes10-20 Minutes20+ Minutes
After being seated in the dental chair, how long do you usually wait before seeing the dentist, dental hygienist, or other staff for treatment?
Little or No Time1-10 Minutes10-20 Minutes20+ Minutes
How would you rate the professionalism of the dentist(s) in our practice?
Very ProfessionalAverageToo CasualNot Profeessional
How would you rate the professionalism of the dental hygienist(s) in our practice?
Very ProfessionalAverageToo CasualNot Profeessional
How would you rate the professionalism of the receptionist(s) in our practice?
Very ProfessionalAverageToo CasualNot Profeessional
Are you satisfied with the way you are treated as an individual and a patient in our dental office?
YesNo
If no, please explain:
What can we do to make your visits with us more pleasant and enjoyable?
Please type the number 68281:*