Patient Survey

When I call the office I receive prompt, courteous attention Strongly Agree   Agree   Disagree   Strongly Disagree
All members of the office staff are friendly and courteous Strongly Agree   Agree   Disagree   Strongly Disagree
The doctor has time to listen to me Strongly Agree   Agree   Disagree   Strongly Disagree
The doctor spends enough time with me Strongly Agree   Agree   Disagree   Strongly Disagree
The doctor and staff always look and act professional Strongly Agree   Agree   Disagree   Strongly Disagree
I would not consider changing dentists Strongly Agree   Agree   Disagree   Strongly Disagree
I don't wait long once I arrive in the office Strongly Agree   Agree   Disagree   Strongly Disagree
The office is clean and up to date Strongly Agree   Agree   Disagree   Strongly Disagree
Treatment recommendations are clearly explained Strongly Agree   Agree   Disagree   Strongly Disagree
It is not difficult to get an appointment with the doctor Strongly Agree   Agree   Disagree   Strongly Disagree
I would gladly refer friends and family to this practice Strongly Agree   Agree   Disagree   Strongly Disagree

Comments First Name: (optional)

May we use your comments as a testimonial on our website?   Yes   No