Cosmetic Dentistry, Northwest Houston
Family Dentistry, Northwest Houston
138 Vintage Park Blvd. Suite G
Houston, Texas 77070
Phone 281-320-9600
Email
info@castleberrycenter.com
New Patient Forms
Appointment Request
Patient Survey
Affordable Financing
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Dental Patient Survey
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.