We appreciate you taking the time to complete our survey. Any comments you choose to make will help us improve our patient care in the future
Patient Name:
Email Address:
Please complete the following questions regarding your experience at Village Dental Center
Appointments
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Not Applicable
It was easy to make an appointment
The appointment secretary
was courteous and helpful
Appointment options were
given that matched my schedule
Finances & fees were explained to me
Facilities
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Not Applicable
Office location & parking were convenient
The reception area was neat & clean
The equipment was clean and presentable
The temperature in the office was comfortable
Staff
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Not Applicable
The dentist was professional
and courteous
The dental hygienist was
professional and courteous
The dental assistant was professional and courteous
Other staff were
professionaland courteous
The staff was considerate
and sensitive to my needs
Treatment
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Not Applicable
The proposed treatment was clearly explained to me
All my questions were answered
Treatment alternatives
were given
The dental treatment was
completed in a timely and
efficient manner
I am pleased with the
quality of dental treatment
Comments