Patient Survey

Take Our Survey

We appreciate you taking the time to complete our survey. Please feel free to comment on your visit as well. Any comments you choose to make are kept strictly confidential and can only help us become better in the future.

First Name * Last Name * Email Address * How would you rate your overall visit?
(Excellent - Very Good - Average - Not so Good) When your appointment was over did you have a good understanding of your dental situation?
(Yes -  Not really - I wish I knew more about my situation) Were your financial options explained to you?
(Yes -  No - I already understand my financial options) Did you have to wait over 15 minutes past your appointment time to be seated? If so how long?
(No - 15 to 30 minutes - 30 to 45 minutes - Over 45 minutes) Did the staff greet you properly?
(Yes - Not really - I don't recall) Would you refer your friends and family to us?
 (Yes - No - I'm not sure) Please comment on how we could make your visit better, new services you would like to see, or other ways we can make you feel more comfortable. * * = required