100% of survey complete.

The purpose of this survey is to help us better serve you and your patients. Our intention is to deliver a compelling personalized endodontic experience that nurtures a sense of reciprocal loyalty between our practice and yours. Thanks for you input!

* 1. Last Name:

* 2. First Name:

* 3. Please rank in order of importance what you most desire from an endodontic specialist?

* 4. The number of Endodontists I refer to:

* 5. Selection of Specialist:

* 6. Endodontic specialist usage: (Check all that apply)

* 7. Emergency/Palliative treatment: (Check all that apply)

* 8. Emergency expectations:

* 9. Treatment recommendations:

* 10. Post placement philosophy:

* 11. Post-endodontic restoration: I prefer: (Check all of your desired preferences)

* 12. Restorative Material preference: (if placed)

* 13. I would prefer to interact with the specialist in the following ways: (Check all that apply)

* 14. If a tooth requires crown-lengthening to be restorable how would you prefer us to handle this situation?

* 15. If there exists a significant problem with patient (e.g. pt has disparaging comments about you or your clinic), how would you prefer us to communicate with you? Please note: We will always support you when talking with your patient. (Check all that apply)

* 16. Please leave any additional comments/concerns: