Thank you for choosing us.

We are always looking for things we can change and new services we can offer. Please complete the following information selecting the most appropriate answer.

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1. How would you rate your visit?

Excellent
Very good
Average
Not so good

2. When your appointment was over did you have a good understanding of your situation?

Yes
Not really
I wish I knew more

3. Were your financial options explained?

Yes
No
I already understand my financial options

4. Did you have to wait past your appointment time to be seated? If yes, how long?

No
15 to 30 Minutes
30 to 45 Minutes
Over 45 Minutes

5. Did our team greet you properly when you arrived?

Yes
Not really
I don't recall

6. Would you refer your friends or family to us?

Yes
No
I'm not sure

7. Please comment on your visit, things we could change, new services you would like to see.