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We want every experience to be perfect. Please take a minute to fill out this survey. We'll even enter you into a draw to win points and earn great prizes!

1. Timing. Your time is very important and we want to minimize delays.
= Excellent \| = Good \| = Not Satisfied
2. Cleanliness. We always want to provide a clean and tidy clinic.
= Excellent \| = Good \| = Not Satisfied
3. Friendliness. We always want to be friendly and enthusiastic.
= Excellent \| = Good \| = Not Satisfied
4. Comfort. We want you to be comfortable during your procedure.
= Excellent \| = Good \| = Not Satisfied
5. Painless Experience. We want every procedure to be painless.
= Excellent \| = Good \| = Not Satisfied
6. Explanations. We want you to be informed using words you understand.
= Excellent \| = Good \| = Not Satisfied
7. Advance Notice. We like to remind you of appointments 1 day in advance.
= Excellent \| = Good \| = Not Satisfied
8. Price. We always want to provide great value for our patients.
= Excellent \| = Good \| = Not Satisfied
9. Education. We want our staff to give you suggestions on oral health.
= Excellent \| = Good \| = Not Satisfied
10. Satisfaction. We always strive for 100% patient satisfaction. How do you rate our clinic?
= Excellent \| = Good \| = Not Satisfied
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