Patient Satisfaction Survey
- 1. Are you a patient completing this survey?
- 2. How did you find us?
- Please give us your feedback using the rating of 1 to 5, with 5 being the highest score
- 3. When you telephoned to make an appointment, the staff members were courteous and helpful in finding a suitable time?
- 4. Were you greeted in a friendly manner and made to feel comfortable?
- 5. The office looks clean with a good appearance and comfort?
- 6. Were you advised of any delays?
- 7. Did the Oral Surgeon take the time to listen to your concerns?
- 8. Did the staff take the time to adequately explain the treatment plan and answer your questions?
- 9. Would you recommend us to your personal dentist?
- 10. Did you feel that you understood the prescribed treatment and all of your questions were answered to your satisfaction?
- 11. If you had a concern during your visit, do you think it was properly handled by the staff?
- 12. Did you feel that the staff was concerned about your overall well being as a person and not just your dental condition?
- 13. Using the rating of 1 to 5, with 5 being the highest score how do you rate our office?
- 14. Overall, did you have a good experience visiting our office?
- 15. Would you refer a friend or family member to our office?
We are always striving to improve our services. Your comments are important to us. How may we serve you better?