Did we make you smile?

We appreciate you taking the time to complete our survey. At Kidental, we are committed to continually improving the level of care we give to our patients. Your feedback is paramount for us to improve our service to you.

Any comments you choose to make are kept strictly confidential and can only help us become better in the future.

Name
Email
Phone ( ) -
How did you hear about our practice?
Please rate your overall comfort level in the office.
Needs Improvement   Good   Exceptional
Upon arrival I was greeted courteously.
Needs Improvement   Good   Exceptional
I felt the doctor and team listened and understood my dental concerns.
Needs Improvement   Good   Exceptional
I felt that everyone was concerned about my total wellbeing as a person, not just my dental needs.
Needs Improvement   Good   Exceptional
When your appointment was over did you have a good understanding of your dental situation?
Needs Improvement   Good   Exceptional
Did you have to wait over 15 minutes past your appointment time to be seated? If so how long?

Were your financial options explained to you?

Please rate the overall courtesy, professionalism and friendliness of the doctor and the dental team.
Needs Improvement   Good   Exceptional
The reception area, restroom and treatment rooms are clean and comfortable.
Needs Improvement   Good   Exceptional
I look forward to recommending this office to family and friends.
Needs Improvement   Good   Exceptional
  Name Email Phone
Friend 1
Friend 2
Friend 3
What do you think differentiates Kidental from other offices?
Please comment on how we could make your visit better, new services you would like to see, or other ways we can make you feel more comfortable.
 

 

home | our office | our staff | services | new patients | faq | resources | appointment request | patient survey | contact us | terms of use

Designed By: SyracuseCS