patient survey

Name:

Email:

How would you rate your overall visit?

Poor

Average

Good

Excellent

Did the staff treat you professionally on the phone?

Yes

Did the staff greet you properly?

Yes

Were the assistants and hygienist friendly and professional to you and your child?

Yes

Was the Doctor professional and courteous to you and your child?

Yes

Did the appearance and cleanliness of our office meet your expectations?

Yes

Were your financial matters handled in a timely and well addressed manner?

Yes

Would you refer friends and family to us?

Yes

Please comment on how we could make your visit better:

Thank you for contacting us.
We will get back to you as soon as possible.

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2426 Beltline Road

Garland, TX 75044

Monday 8:30am-5:00pm

Tuesday 8:30am-5:00pm

Wednesday 8:30am-5:00pm

Thursday 8:30am-5:00pm

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