We hope that you have had a comfortable and pleasant experience in our office. It is our greatest pleasure to have you as a patient! As you know, our practice is committed to 100% patient satisfaction. Because we are proud of the beautiful smiles we have created in this community, we want you to be excited about all of the services we provide. We value your opinion and would greatly appreciate it if you would take a moment to share your impressions of our practice. Thank you for your time!

A = Excellent B = Average C = Could be improved
1. Was your treatment gentle and comfortable?
2. Are you happy with the dental work you received?
3. Did you understand your treatment options?
4. Were you able to ask questions and get helpful answers?
5. Did your Provider seem competent and knowledgeable?
6. Were payment and insurance issues handled well?
7. Are our staff efficient, friendly and understanding?
8. Were appointments quick and easy to make?
9. Will you recommend us to others?
10. Were you seen in a timely fashion?

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Do you have any additional comments that would help us to improve?

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