Barkley Village Family Dentistry

Patient Satisfaction Survey

Please take a moment to tell us about your visits. This will help us to improve and better meet your needs.

When you enter our office for a dental appointment, do you receive a friendly greeting from the receptionist and/or other members of the office staff?

Always
Usually
Occasionally
Rarely
Never

When you call to make or change an appointment, is the office staff polit, courteous, and helpful in finding you an available appointment date and time?

Always
Usually
Occasionally
Rarely
Never

Does the dentist and assistants take an adequate amount of time to explain your proposed treatment, ensure that you understand, and take time to answer your questions?

Always
Usually
Occasionally
Rarely
Never

When you visit our office, how long do you usually wait in the reception area (after the scheduled time of your appointment) before you are seated in the dental chair?

Little or no time
1-10 minutes
10-20 minutes
20+ minutes

After being seated in the dental chair, how long do you usually wait before seeing the dentist, dental hygienist, or other staff for treatment?

Little or no time
1-10 minutes
10-20 minutes
20+ minutes

How would you rate the professionalism of the dentist(s) in our practice?

Very Professional
Average
Too Casual
Not Professional

How would you rate the professionalism of the dental hygienist(s) and dental assistant(s) in our practice?

Very Professional
Average
Too Casual
Not Professional

How would you rate the professionalism of the receptionist(s) and other members of the office staff?

Very Professional
Average
Too Casual
Not Professional

Are you satisfied with the way you are treated as an individual and a patient in our dental office?

Yes
No