CLIENT SURVEY

Please rate us on 1 to 5 scale. 5 = Highly Satisfied, 1 = Not Satisfied

1) Was it easy to schedule a convenient appointment?
5 ; 4 ; 3 ; 2 ; 1

2) Were you greeted in a prompt and friendly manner?
5 ; 4 ; 3 ; 2 ; 1

3) Was the doctor and/or assistant(s) sensitive to your needs?
5 ; 4 ; 3 ; 2 ; 1

4) Was the waiting time in the reception area reasonable?
5 ; 4 ; 3 ; 2 ; 1

5) Was the treatment explained to your satisfaction?
5 ; 4 ; 3 ; 2 ; 1

6) How would you rate your overall experience?
5 ; 4 ; 3 ; 2 ; 1

7) How satisfied are you with the level of personal, one on one care, received during your visit?
5 ; 4 ; 3 ; 2 ; 1

8) Would you refer a friend or a family member to our practice, in the future?
5 ; 4 ; 3 ; 2 ; 1

Feel free to ask us about our Client Referal Program.