Patient survey

Our team is committed to providing you with the utmost in care and professionalism. Your reply to the following questions will let us know how we can serve our patients better. Please check the number that most accurately represents your response.

Needs improvement----------------Good------------------Excellent
1. It was easy to contact our office and make an appointment.
1 2 3 4 5
2. The doctor and staff are friendly and courteous.
1 2 3 4 5
3. I was seated at my appointment time, or advised of any delays.
1 2 3 4 5
4. I felt that everyone was concerned about my wellbeing.
1 2 3 4 5
5. I understand the treatment recommendations and my questions were adequately answered.
1 2 3 4 5
6. Payment options and financial arrangements were adequately discussed.
1 2 3 4 5
7. The reception area, restroom and treatment rooms were clean and comfortable.
1 2 3 4 5
8. I look forward to recommending this office to family and friends.
1 2 3 4 5

Are there any team members you would like to recognize for outstanding care?

Any additional comments?

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