Dental Satisfaction Visit
 
Q. 1)
 What was the main purpose of your last dental visit?
Other Answer
Q. 2)
 Rate your satisfaction in the following:
Excellent Very Good Good Fair Poor Very poor
Quality of care and service
Level of comfort felt
Quality of the treatment offered
Amount of time spent waiting
Explanation of the dental procedure
Friendliness and courtesy of staff
Cleanliness and comfort of dental chair and room
Ease and Availability of scheduling appointments
Q. 3)
 In what way(s) could we have made your experience better?
Q. 4)
 Would you recommend us to others?
This survey is powered by Vorexsurvey.com