Patient Survey

At The Dental Comfort Zone, P.C.™ we are dedicated to meeting the needs and expectations of every patient. Can you help us evaluate our office? Any comments you choose to make are kept strictly confidential and can only help us become better in the future.

Patient name
E-mail address
Did your dentist carefully listen to your concerns?
All of the timeSome of the timeNone of the time
Does your dentist make you feel comfortable during treatment?
YesUsuallySometimesNever
Were your financial options explained to you?
YesNoI already understand my financial options
Did you have to wait over 15 minutes past your appointment time to be seated? If so how long?
No15 to 30 minutes30 to 45 minutesOver 45 minutes
Did our office staff greet you properly?
YesNot reallyI don't recall
If a friend or family member were looking for a dentist, would you feel comfortable in recommending our practice?
YesNoI'm not sure
Have you ever recommended a friend or family member to us?
YesNo
Please comment on how we could make your visit better, new services you would like to see, or other ways we can
make you feel more comfortable.
Human? [recaptcha]