Post-Appointment Survey

post appointment survey

We appreciate you choosing our practice, and we are committed to making sure that your time spent with us is as comfortable and fulfilling as possible. In order to continue providing the kind of care that keeps our patients smiling, we encourage your comments and suggestions about the treatments and personal care you've received while visiting our practice.

Please take a moment to provide us with your feedback. When you're finished, click on the SUBMIT button at the bottom of the page.

Please tell us about your appointment:

Bold fields are required.

How well did we explain what you could expect from treatment?

How well did we explain things to you and answer your questions?

How well did we keep you informed of your progress?

How reasonably prompt were we in starting treatment on each visit?

How helpful and courteous was the reception desk?

How did you find the availability of appointment times?

How caring and gentle was Dr. Shefferman throughout your treatment?

How caring and thorough were the assistants?

How enjoyable was the office environment?

How satisfied are you with the results of the treatment?

Were your final results worth the financial investment?

Did the financial arrangements meet your needs?

Contact Information:

Would you like a member of our team to contact you to further discuss your experience?

Please provide your name and email address:

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