Feedback - Boston Dental Center

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How did you hear about us?

Date of last Visit

Walk in or Appointment?

Are our working hours convinient for you?

Do you find our parking convinient?

Upon entering our clinic, were you properly greeted, and acknowledged by our staff?

Did the waiting area look clean and orderly?

How long did you wait before being seen by the dentist?

Was the receptionist helpful, polite and pleasant?

Was the dental assistant(s) friendly, supportive and confident?

Was the Dentist who attended you confident and focused?

Did the Dentist explain your treatment, answer your questions, and listen to your concerns?

Did the clinic chamber seem clean and hygienic?

The level of dental treatment I received was

How would you rate the overall quality of service you received at Boston Dental center?

Would you recommend us to your family, friends and co-workers?

Additional Comments or Suggestions

If this is a complaint, do you wish to be contacted for follow-up?

The following information is optional, but is required if you wish to be contacted:
Name

Phone

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