about us

Name (optional)

Date
Was our staff courteous
on the phone?

Was your call answered
in a timely manner?

Were we helpful on
the phone?

Did our dental team have
a professional manner and
appearance?

Were we kind and gentle?

Were you offered an
understandable explanation
of treatment?

Were we on time?

Was there something
from your visit that
especially pleased you?

Is there an area that
we need to improve?

Would you feel good
about referring a friend
or family member to
our office?

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