Satisfaction Survey

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1. How would you rate our quality of service?
ExcellentGoodNeeds Improvement

2. How would you rate our professionalism?
ExcellentGoodNeeds Improvement

3. How would you rate our staff's knowledge?
ExcellentGoodNeeds Improvement

4. On the average, were you seen at your appointed time?
YesNo

5. Did you ever feel rushed at out office?
YesNo

6. How would you rate our appointment availability?
ExcellentGoodNeeds Improvement

7. Do you find our office setting comfortable?
YesNo

8. How would you rate our communications, both written & verbal?
ExcellentGoodNeeds Improvement

9. Would you consider recommending your family & friends to us?
YesNo

10. What do you like the best about our office?

11. What do you like the least about our office?

12. What changes or improvements would you recommend?

13. Were you and/or your child pleased with the treatment we provided?

14. Thank you for giving us your feedback. If there are any other comments you'd like to make, place them below. When done, click send.