Patient Survey


As part of our commitment to provide our patients with the highest quality of service and treatment, it is essential to us that we know how we measured up. Please take a few minutes to fill out this secure online questionnaire so that we may better serve you and our future patients. We appreciate your honesty and thank you for taking the time to share your thoughts with us.

Patient Survey

Impression of the office:

1. You were greeted promptly and courteously:
2. The staff were knowledgeable and professional:
3. The staff were friendly:
4. The appointment coordinator was helpful and accomodating when making appointments:
5. The office was clean and well maintained:

Impression of the doctor:

1. The doctor was thorough:
2. The doctor's explanation of diagnosis and treatment plan were clear:
3. The doctor spent adequate time with you:
4. The doctor was friendly:
5. You are very satisfied with the overall quality of your orthodontic treatment:
6. You are very comfortable in recommending the doctor to other family members and friends:

Impression of the treatment coordinator:

1. Financial arrangements were clearly explained:
2. The treatment coordinator was knowledgeable:
3. The financial arrangements were fair and reasonable:
4. The treatment coordinator was friendly:

Impression of the clinical staff:

1. The clinical staff were gentle:
2. The clinical staff were professional:
3. The clinical staff were friendly:
4. A particular staff member(s) that provided exceptional service:

Security Measure