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1. Was our staff courteous on the phone?
2. Was our staff friendly and helpful?
3. Was our staff attentive to your needs in the office?
4. How well did we respect your time?
5. Was our office clean and comfortable?
6. Did you find our office hours convenient?
7. Were all your questions regarding treatment answered to your satisfaction?
8. Were financial arrangements explained well?
9. Overall, how would you rate our care and service?
Would you recommend us to your family, friends and co-workers for their quality dental care?
General Patient Information
Patient Age:
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How long have you been a patient in our office:
We welcome any comments that you feel may help us to provide even better service. Your comments will be held in the strictest confidence. Thank you for entrusting us with your dental care!
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