Dentist Phoenix - Patent Survey

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Patient Survey

Thank you for choosing us for your dental care. We know that you have a choice where you receive your dental treatment and at Ideal Dentistry we value your comments and suggestions. We are always looking for ways to improve our practice, new services to offer, and other ways that we can make you feel more comfortable. Please help us as we strive to improve our overall performance by filling out this confidential online questionnaire.

How long have you been a patient of Ideal Dentistry?
New Patient 1-3 Years 4-6 Years 7+ Years

How would you rate your overall visit?
Excellent Good Fair Poor

Did the staff greet you properly?
Yes No

Did you have to wait over 5 minutes past your appointment time to be seated? If so, how long?
No 1-10 Min. 11-20 Min. Over 20 Min.

When your appointment was over, did you have a good understanding of your dental situation?
Yes No

If applicable, were your financial options explained to you?
Yes No

Will you return for additional care?
Yes No

If one of your friends or family members were looking for a dentist, would you feel comfortable in referring them to our practice?
Yes No I'm Not Sure

Please comment on how we could make your visit better, new services you would like to see, or other ways that we can make you feel more comfortable.

Appointment Request

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