Patient Survey
1. How comfortable did front office staff make you feel today?

  Very
  Somewhat
  A little
  Not at all

2. Did you feel you were given enough information to make informed choices about your treatment plan?

  Definitely
  Somewhat
  Not at all

3. How would you characterize the service by your hygienist today?

  Caring
  Indifferent
  Insensitive
  (I was not treated by a hygienist today.)

4. How would you characterize your service by your dentist today?

  Caring
  Indifferent
  Insensitive
  (I was not seen by a dentist today.)

5. Who was your dentist today?

Dr. Jamie
Associate
Associate