Adult Dental Question Title * 1. I am satisfied with the appointment reminder. Yes No OK Question Title * 2. My wait time to be seen was satisfactory. Yes No OK Question Title * 3. Staff are courteous Yes No OK Question Title * 4. I clearly understood the procedure prior to the dentist beginning. Yes No OK Question Title * 5. I was satisfied with efforts to minimize pain during my procedure. Yes No OK Question Title * 6. I clearly understand the instructions on how to care for my teeth. Yes No OK Question Title * 7. I am satisfied with the summary of care provided and follow-up instruction given Yes No OK Question Title * 8. I was satisfied with the treatment that I received Yes No OK Question Title * 9. I clearly understand the other services offered offered by this clinic Yes No OK Question Title * 10. I would come back to see this provider Yes No OK Question Title * 11. I received care at - RKM in Clinton RKM- Loranger RKM - Livingston RKM- Springfield Slaughter Health Center Jackson Complex Health Center WBR Primary Care Clinton Middle Health Center Clinton Lower Health Center OK Question Title * 12. My provider was Adam Town, DDS Thomas Leach, DDS Phillip Griffin, DDS Wynette Karno, RDH Kristi Hill, RDH OK Question Title * 13. The provider washed their hands before providing care. Yes No OK Question Title * 14. Is this your first visit to an RKM Clinic? Yes No OK Question Title * 15. How did you hear about us? Radio/Television Billboard Newspaper Google/RKM Website Social Media (Facebook) Word of Mouth OK DONE