Patient Survey | Root Canal Dentists

Encuesta para pacientes

Take our patient survey

Your feedback helps us improve. / Sus comentarios nos ayudan a mejorar.

Bilingual form (English / Español). Responses are delivered to our office (rcd@happy2th.net).

Patient name / Nombre del paciente

Appointment date / Día de la cita

Location / Ubicación

When you arrived, was the front-office staff friendly?

Do you feel the clinical staff (doctors, assistants) treated you with respect?

How would you rate the cleanliness of the office?

Do you feel like we value your time?

Did you receive a text message about the appointment?

Did this help you remember your appointment?

Would you refer us to your friends or family?