Satisfaction Survey

To Our Valued Patients,
Vincent Orthodontics is a place where the genuine care and comfort of our patients is our ultimate mission. Your experience with our office is very important to us. Please take a moment to share your comments and feedback so we can continually strive to improve our services.

Check One

1=Strongly Agree     4=Strongly Disagree

1. Do we answer the phone promptly and politely?

2. Are you kept on "hold" too long?

3. Are all of your questions answered satisfactorily?

4. Do we return your calls promptly?

5. Do we see you on time?

6. Is our reception area clean and comfortable?

7. Are you greeted pleasantly upon arrival?

8. Does our staff seem genuinely interested in you?

9. Are the doctor and staff attentive to your needs and concerns?

10. Does our staff spend adequate time with you?

11. Does our doctor spend adequate time with you?

12. Are you pleased with the results you are seeing?

13. Would you consider referring your friends and colleagues to our office?

How are we doing?

What do you like best about our office?

What do you like least about our office?

Testimonial (Please include your name if you would like).


 
American Association Of OrthodontistsDamon SmileInvisalign

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