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* 1. How would you describe your overall experience at our office today?

* 2. How would you rate our office?

  Excellent Good Fair Poor N/A
Ease of scheduling appointments
Office environment
Friendliness of office staff
Waiting time

* 3. Which Doctor did you see during your appointment?

* 4. When your appointment was over, did you have a good understanding of your dental situation?

* 5. Have you ever invited family members or friends to our practice?

* 6. Do you have any additional comments or suggestions for us?

* 7. May we have your permission to use your survey answers in our office and on our website?

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