1. Were you greeted with a smile and a warm welcome?    

Yes    No

2. Were you addressed by name?    

Yes    No

3. Did you have to wait past your appointment time to be seated?    

Yes    No

4. During your visit with us, were all of your dental concerns addressed clearly and completely?

Yes    No

5. Were you given a fond farewell?

Yes    No

6. Would you refer your friends and family to our practice?

Yes    No

7. How can we make your experience better?