Dr. Morris's Patient Satisfaction Survey

* When you think of our dental office, what is most important to you? (Choose up to three answers.)

Convenient location

Convenient appointment times

Comfortable office with a great view

Painless dentistry

Treatment is explained to my understanding

Comprehensive services

Friendly staff

Modern techniques / Effective treatment

Payment options

Amenities like waiting room coffee and wireless internet

Other (please specify)

Rate Dr. Morris and his staff on the following:

Why did you give that rating?

What experience stands out in your mind in your interactions with Dr. Morris and his staff?

* How long do you wait in the waiting room before being seen?

0-5 minutes

5-10 minutes

10-15 minutes

More than 15 minutes

* Have you visited our website www.drchristophermorris.com?

Yes

No

Do you receive our appointment reminders by text or e-mail?

Yes

No

Do you follow us on Facebook?

Yes

No

* Would you refer family or a friend to Dr. Morris?

Yes

No

Why is that?

What additional comments or suggestions do you have about your dental experience?

* If we quote your comments in our testimonials, do you want your first name associated with your quote?

Yes

No, remain anonymous

Thank you for participating in this survey! To show our appreciation we're offering you a chance to win a drawing for a $50 Cheesecake Factory giftcard. Enter your e-mail address here if you'd like to enter the drawing: