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Patient Survey

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.	Friendliness of staff.	A	B	C
2.	The value of the services we provide.	A	B	C
3.	The quality of our service.	A	B	C
4.	Treatment area was clean and attractive.	A	B	C
5.	Reception room was comfortable.	A	B	C
6.	Doctor was gentle.	A	B	C
7.	All your questions were answered to your satisfaction.	A	B	C
8.	Chair-side assistants were gentle.	A	B	C
9.	Chairside assistants were knowledgeable and courteous.	A	B	C
10.	Doctor was helpful and knowledgeable.	A	B	C
11.	Front desk personnel were professional, courteous, and helpful.	A	B	C
12.	We were on time for you.	A	B	C
13.	Treatment consultations were comprehensive	A	B	C
14.	Scheduling of appointments worked for you.	A	B	C
15.	Would you recommend our office to your friends?	A	B	C

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