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Satisfaction Survey

Thank you for choosing us for all your orthodontic needs! In order to provide the quality services you expect, we are open to your suggestions about your recent experience with our office. We want you to share your thoughts because your feedback is valuable to us!

This survey is anonymous, however you may include contact information so that we can contact you to address any outstanding issues. Please fill out and submit the form below.

1. Did our scheduling system and the general flow of the appointment please you?

Yes No
Comments:


2. Did Dr. Maher and the VO Team fully explain your treatment options and instructions and answer your questions thoroughly?

Yes No
Comments:


3. Did you feel that the VO Team was willing and eager to help you?

Yes No
Comments:


4. Are there any areas in which we need to improve?

Yes No
Comments:


5. May we share your comments as a Testimonial on our Website?

Yes No


6. We strive to provide exceptional care, and our reputation depends on two things: our work and what people say about us. Would you refer us to your friends and family?

Yes No

Comments:

E-mail Address (Optional):


Phone Number (Optional):


Name (Optional):


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