We appreciate you taking the time to complete our survey. Please feel free to comment on your visit as well. Any comments you choose to make are kept strictly confidential and can only help us become better in the future.
*Patient name
*Email address
Date of last visit
The front desk staff gave me a warm greeting upon my arrival:
Strongly Agree----------------------------------------------------------------Strongly Disagree
I was brought back for my appointment on time:
The doctor and staff took the time to explain all of my treatment options:
My appointment was comfortable and pain-free:
The staff was respectful and professional:
The doctor and staff answered all my questions to my satisfaction:
My financial options were explained to my satisfaction:
Overall, my experience at Summit Dental was:
I would refer my friends and family to Summit Dental:
Is there anything else you would like to tell us about your experience at Summit Dental?
Please review the information you are about to submit for accuracy. Thank you!
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