1.How was your visit?

1 star

2 stars

3 stars

4 stars

5 stars

2.Which provider did you see?

Dr Williard

Leslie

Dominic

Jodie

Calandra

Other (please specify)

3.How was your experience with the length of time spent in the dental chair?

Too short

Just right

Too long

Other (please specify)

4.Is there anything that could have made your appointment better?

5.Additional suggestions or comments?