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How would you rate your overall visit?	Excellent Very Good Average Not so good
When your appointment was over, did you have a good understanding of your dental situation?	Yes Not really I wish I knew more
Were your financial options explained to you?	Yes No I already understand my options
Did you have to wait over 5 minutes past your appointment time to be seated?	No 10-15 minutes 15-30 minutes over 45 minutes
Once seated, did your appointment last the amount of time you expected?	Yes No
If no, did you understand the reason for the length?	Yes No
Was the staff courteous and did they greet you properly?	Yes Not really I don't recall
Would you refer your friends and family to us?	Yes No I'm not sure
Please comment on how we could make your visit better.
What new services you would like to see?
What other ways can we make you feel more comfortable.

Dental Patient Survey