Question Title

* 1. Name (Optional):_________________________________

Question Title

* 2. Who did you see today for your treatment?

Question Title

* 3. How likely are you to refer a friend or family member to Church Health?

Question Title

* 4. In general, how would you rate your overall oral health?

Question Title

* 5. I was seen at my scheduled appointment time. 

Question Title

* 6. My dental care team explained my treatment plan in a way that was easy for me to understand.

Question Title

* 7. My dental care team spent enough time with me.

Question Title

* 8. My dental care team treated me as a partner in caring for my dental health.

T