Patient Survey

Patient Name:    

E-mail Address:

How would you rate your overall visit?

Excellent Very Good Average Not so good

How would you rate 'our fees' compared to other dental clinics in dublin?

Expensive Reasonable Same Cheaper

When your appointment was over did you have a good understanding of your dental situation?

Yes No I wish I knew more about my situation

Were your financial options explained to you?

Yes No I already understand my financial options

Did you have to wait over 15 minutes past your appointment time to be seated? If so how long?

No 15 to 30 minutes 30 to 45 minutes Over 45 minutes

Did the staff greet you properly?

Yes No I don't recall

Would you refer your friends and family to us?

Yes No I am not sure

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.