Our goal is to provide you with the most comfortable dental experience possible. You can help us do that by taking a minute or two to complete this little survey. We take all your feedback seriously, using it to guide us in our efforts to improve our performance. The survey is completely anonymous. If you want to give us comments or suggestions with your name attached, you may use the Feedback Form.

For each statement below, please enter two numbers. On a scale of 1 to 10 (1 = terrible and 10 = wonderful), rate both how Important the statement is to you, and how Satisfied you were with that aspect of your experience.

For example, let’s say the survey was measuring your experience visiting Santa in the Mall. One of the statements in the survey is: “Santa’s whiskers are real.” You would choose “10” in the IMPORTANT field, indicating that real whiskers are extremely important to you. You would then choose “6” in the SATISFIED field, indicating that the fake beard, though quite good, was only moderately satisfying.

Thank you for your time and contribution to our goal!