Lake Zurich Dental - Patient Survey - Village Dental Center

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

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