Patient Experience Survey Questions

1. How would you rate your overall experience at our dental office? (1 – Very Dissatisfied to 5 – Very Satisfied)
12345

2. How easy was it to schedule your appointment?
Very easyEasyNeutralDifficultVery difficult

3. Was the front desk staff courteous and helpful?
YesSomewhatNo

4. Did the dental team (hygienists, assistants, doctors) clearly explain the procedures and answer your questions?
YesSomewhatNo

5. Did you feel comfortable during your visit?
YesSomewhatNo

6. Was your appointment time honored, or did you experience a long wait?
No waitShort waitLong wait

7. How clean and organized was the office?
Very CleanCleanSomewhat CleanNot Clean

8. Do you feel the treatment recommendations were made in your best interest?
YesNot SureNo

9. Would you recommend our dental office to family or friends?
YesMaybeNo

10. What could we do to improve your experience at our dental office?