Practice Description
Dr. Dantini
Office Staff
Patient Services
Technology
Office Hours
Directions
New Patient Coupon
Frequently Asked Questions
Dental News
The Connecticut Bridge
Links
Smile Book
 
 
QUESTIONNAIRE
 

Please rate the following survey items:

4
3
2
1

Very Satisified
Satisfied
Unsatisfied
Very Unsatisfied

The overall phone service you experienced in connection with your visits.
The amount of time you had to wait on the phone before talking to someone.
The helpfulness of phone advice received.
The courtesy and helpfulness of the staff during your visits.
Confidence level with Dr. Dantini's ability and technical skills.
Your confidence that Dr. Dantini provided you with the care and servicesyour dental condition required.
How well did we listen to you and understand your needs?
How well did we explain what was being done and why?
Extent to which we involved you in decisions about your care.
Were you seen promptly for today's appointment? Yes No
Was the office clean? Yes No
Was your procedure performed gently and efficiently? Yes No
Did you receive good value? Yes No
The service you received --- was it out of the ordinary in any way? Yes No
Please explain (we like to reward our staff for superior service)
Were you dissatisfied with your care in any way? Yes No
Please explain
Would you recommend our office to other people? Yes No
Do you have any suggestions?
Name (optional)
Many Thanks
We want to express our thanks for your continued support of our practice in the form of referrals. The only way our practice can thrive is by the continuing "word of mouth" growth you give us. Our mission is to provide the highest possible quality care to our patients. We have resisted (and will continue to resist) the trend toward high volume, usual-and-customary dentistry and we feel that we provide the kind of high touch and high tech service that is difficult to beat. If that is the kind of dentistry your family, friends, or co-workers deserve, please let them know about our office. And, thanks again for keeping us in your thoughts.