Houston dentist cosmetic dental clinic

Patient’s Name:

Email:

Were you greeted in a friendly manner?

Yes No

Were your questions answered thoroughly and clearly?

Yes No

Was your appointment made to your satisfaction?

Yes No

Was your insurance, payment options,
and out of pocket expenses explained?

Yes No

Comment:

Were you seated within 15 minutes of your appointment?

Yes No

If not, how much longer did you wait?

Did Dr. Bonin explain treatment options to your understanding?

Yes No

Was the clinical staff friendly, professional,
and sensitive to your needs?

Yes No

How can we improve our office?