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I was seen for dental procedure with Dr. Eddy Sauer Scott Sauer Ryan Brewster
Cleaning with Stephanie Choice 2 Choice 3
When I called to schedule my appointment, I was treated courteously and professionally: 1 Strongly Agree 2 Somewhat Agree 3 Agree 4 Disagree 5 Strongly Disagree
I was called and reminded of my appointment the day before my appointment (or Friday if a Monday appointment): 1 Strongly Agree 2 Somewhat Agree 3 Agree 4 Disagree 5 Strongly Disagree
I was greeted warmly upon arrival at the front desk: 1 Strongly Agree 2 Somewhat Agree 3 Agree 4 Disagree 5 Strongly Disagree
I was taken to the exam room in a timely manner: 1 Strongly Agree 2 Somewhat Agree 3 Agree 4 Disagree 5 Strongly Disagree
If here for a cleaning, was any future treatment planned? Yes No
If so, was the procedure fully explained to you? Yes No
Were payment options explained satisfactorily? Yes No
If here for a procedure by the dentist, please rate your comfort level: 1 Very comfortable 2 Somewhat comfortable 3 No Opinion 4 Somewhat Uncomfortable 5 Very uncomfortable
Was the procedure explained to you before treatment began? Yes No
Would you recommend our office to your friends or co-workers? Yes No
What could we do to improve your dental experience?