Lexington Dental Care - Patient Survey


	Home Procedures Cleaning & Prevention Cosmetic Procedures Restorative Procedures Implant Procedures Tooth Extractions Smile Gallery Videos Our Practice Meet Dr. Kirkpatrick New Patient Forms Office Policies Common Questions External Links Location Request Appointment Contact Us Patient Survey We are very interested in your feedback, so please fill out the form and let us know what you think of our dental services. How would you rate your overall visit? Excellent Very good Average Not good When your appointment was over did you have a good understanding of your dental situation? Yes No I wish I knew more about my situation Were your financial options explained to you? Yes No I already understand my financial options Did you have to wait over 15 minutes past your appointment time to be seated? If so how long? No 15 to 30 minutes 30 to 45 minutes Over 45 minutes Did the staff greet you properly? Yes No I do not recall Would you refer your friends and family to us? Yes No I am not sure Please comment on how we could make your next visit better, new services you would like to see, or other ways we can make you feel more comfortable. Your Name:(optional) Email Address:(optional) Home Procedures Smile Gallery Videos Our Practice Location Request Appointment Contact Us Dental website design by Dental Web Services