Office Survey

We enjoy having you as a patient and we are committed to making our relationship together as fulfilling as possible. In order to continue to serve happy patients, we would appreciate your suggestions and comments about our services.

Please fill out the form below and click the SUBMIT button to send us your comments. Because your comments are sent over the Internet, please do not include sensitive or personal information on this form.


1. Was our orthodontic team sensitive to your questions and concerns during the course of your treatment?
2. Were you fully informed about your treatment options, financial options, and instructions on the care of your teeth while in braces?
3. Were you comfortable in the office atmosphere?
4. Did you have any concerns during your treatment that were not addressed?
5. In what way(s) could we improve our service?
6. What was the most beneficial experience you had during the course of your treatment?
7. Would you refer your friends and family to our office?
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