Dear Valued Patient,

Thank you for taking the time to participate in this survey. We value your opinion about our customer service. This survey has only a few questions and should take about 3-5 minutes to complete. Your answers will be completely anonymous (unless you choose to identify yourself). We will not be able to connect your survey answers to your e-mail address.

Any questions marked with an asterisk (*) require an answer in order to progress through the survey.

In order to progress through this survey, please use the following navigation buttons:

Click the Next button to continue to the next page.
Click the Back button to return to the previous page.
Click the Submit button to submit your completed survey.

Thank you again for you participation and your ongoing confidence in our practice.


Dr. Charlie and Dr. Dana