We enjoy having you as a patient and we are committed to making our
relationship together as fulfilling as possible. In order to continue
to serve happy patients, we would appreciate your suggestions and
comments about our services.
Please fill out the form below and click the SUBMIT button to
send us your comments. Because your comments are sent over the
Internet, please do not include sensitive or personal information
on this form.
1. Keeping in mind that quality orthodontics cannot be kept to
a strict schedule, were you pleased with our scheduling system
and the general flow of your appointment?
yes
no
Comments:
2. Did you feel like our doctor(s) and team explained fully your
treatment options, instructions, and questions?
yes
no
Comments:
3. Did you feel like our team was ready and eager to assist you?
yes
no
Comments:
4. Are there any areas in which our service could be improved?
yes
no
Comments:
5. Our practice values happy, satisfied patients and our
success is based on our patients’ recommendations. Would
you refer your friends and family to us for their orthodontic
needs?
