Questionnaire

Reception:

Were you greeted in a friendly manner immediately upon arrival?

 Yes No

Comment:


How would you describe the quality of service at reception?

 Extremely Good Good Fair Needs Improvement Unsatisfactory

Comment:


Were all your financial questions clearly answered?

 Yes No

Comment:





Operatory:

Were you greeted in a friendly manner?

 Yes No

Comment:


Were all your questions and concerns answered?

 Yes No

Comment:


Have you been satisfied with your Dental procedures?

 Yes No

Comment:





General:

Is there any area within North Burnaby Dental Group that you would like to see improve?

 Yes No

Comment:



Thank you for your time, this form will be submitted to the Manager when you press...


North Burnaby Dental Group does not share this information with third parties. No personal information is gathered in the completion of this questionnaire.