• Patient Survey

    In the interest of improving our office and how we serve you, we would appreciate your taking the time to answer the following questions:

  • Were you greeted in a friendly manner both initially by phone and at your first visit at our office?*
  • Did the consultation visit answer questions/ concerns, and allay anxiety you may have had?*
  • Did you find your oral surgery to be as unpleasant as you originally thought it might be?*
  • Were the postoperative instructions helpful?*
  • Were the financial matters handled in a professional manner?*
  • If there was a need for you to have oral surgery again, would you return to this office?*
  • Would you like a staff member to call you regarding any of the above concerns?*

  • Thank you for your time and suggestions!

  • Surgeon:
  • Should be Empty: