Satisfaction Survey

Please Tell Us About Your Appointment:

Do we answer the phone promptly and politely?

Were you greeted upon arriving at our office?

Did we see you at your scheduled appointment time?

Please describe your experience visiting our practice.

Please describe your experience working with the doctor(s) and staff.

What was your favorite thing about being at our practice?

What areas could we improve upon to make your experience even more enjoyable?

Would you refer friends and family to us for orthodontic treatment?

How would you rate your overall experience?
PoorAverageGoodGreat!

Please provide any additional comments/suggestions.