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Surveys
2013
February
D
Dr. Morris's Patient Satisfaction Survey
Dr. Morris's Patient Satisfaction Survey
Christopher R. Morris, DMD
www.drchristophermorris.com/
0%
Questions marked with an
*
are required
Exit 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
Is there anything you would change about these reminders?
Do you follow us on
Facebook
?
Yes
No
Click
here
if you'd like to see our Facebook page.
*
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
Type name here
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:
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