Patient Feedback

 

Congratulations! The day you have waited for has arrived! We hope you enjoy your beautiful smile, confidence and compliments for a lifetime! It has been our pleasure knowing and serving you during your treatment. Dr. Diers and his staff are always striving for excellence in our office. We are interested in hearing about your personal experience regarding your visits. If you would take a few minutes to fill out this survey, it would be appreciated. You can fill it out today or mail it to our office anonymously. We are interested in all feedback. Thank you for your time.

Sincerely, Dr. Nelson Diers and Staff

1. Are you pleased with the final treatment result?

2. What is your overall impression of the front desk staff?

3. What is your overall impression of the clinic assistants?

4. What is your overall impression of Dr. Diers?

5. What improvements or suggestions can you offer?

6. Was there anything that you enjoyed or liked about our office?

7. Would you or have you recommended our office to anyone?

Copyright © 2005 - 2008 Dr. Diers, All Right Reserved. Powered by Optimized by ForTopPositions