Satisfaction Survey

1. How would you rate our staff knowledge and expertise?
ExcellentGoodNeeds Improvement

If needing improvement please explain why.

2. Were your treatment recommendations explained thoroughly?
YesSomewhatNeeds Improvement

3. How would you rate our financial coordinator and financial arrangements?
ExcellentGoodNeeds Improvement

4. Were you seen at your appointed time?
YesNo

5. Did you ever feel rushed at our office?
YesNo

6. We're always striving to improve our services. Your comments are important to us. How can we serve you better?

7. Name (Optional)