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 leave will be kept strictly confidential and will only help us become better in the future!

Appointments	Strongly Agree		Agree		Neutral		Disagree		Strongly Disagree		Not Applicable
It was easy to make an appointment
I was greeted warmly on arrival
My financial responsibility for today's treatment was explained to me

Facilities	Strongly Agree		Agree		Neutral		Disagree		Strongly Disagree		Not Applicable
The dental chair was clean and comfortable
The equipment was clean and presentable
The reception area was neat & clean

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Staff	Strongly Agree		Agree		Neutral		Disagree		Strongly Disagree		Not Applicable
The patient coordinator was professional, courteous and helpful on arrival
The dentist was professional, courteous, respectful and helpful
The dental hygienist was professional, courteous, respectful and helpful
The dental assistant was professional, courteous, respectful and helpful
The  treatment coordinator was professional, courteous, respectful and helpful

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Treatment	Strongly Agree		Agree		Neutral		Disagree		Strongly Disagree		Not Applicable
All of my concerns were addressed today
The provider's goals for today's treatment were clearly explained to me
My goals for today's treatment were satisfied
The treatment I received today was comfortable
I am pleased with the quality of dental treatment I received
I am likely to refer my family and friends to this office

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Treatment	Just Right		Too Much		A Little Too Much		A Bit Not Enough		Not Enough		Not Applicable
I feel the information I was given about my oral health was
I feel the information I was given regarding home care suggestions was
I feel the recommendations I was given for treatment were
I feel the treatment alternatives I was given were

Please leave a comment and tell us how we can improve!