Patient feedback is an important part of our mission to provide you with excellent dental healthcare services. We strive to continually improve and expand the range of services we provide and want to ensure that we are meeting your needs and expectations.

Please take a moment to evaluate our service. We would like to know how you feel about our services, our patient handling systems, our dentists and staff members. Your attitudes and opinions are extremely valuable to us and we look forward to learning how we can better ensure your total satisfaction.

Who is your Manus Dentist?

How were you originally referred to our practice?
Friend/Family member
Clinical Reputation of practice
Insurance plan
Manus Web Site
Community Advertising
Convenient location to my home/work
Other   

Would you recommend our office to a family member or friend?
Yes
No

If yes, why? If no, why not?

Please describe any changes or improvements you would like to see us make in the office:

Overall, how would you rate our practice?
Excellent
Good
Fair
Poor

Are you interested in appointment confirmation via email?
Yes
No

Would you be interested in obtaining dental insurance through the Manus Dental network?
Yes
No

How long have you been a patient at our practice?
New Patient
1-2 Years
3-5 Years
Over 5 Years

How satisfied are you with the following?
Excellent
Good
Fair
Poor
N/A

CONVENIENCE:

Assistance with billing issues

Office participants in insurance plan

Practice hours

Convenience & availability of making appointments

CARE/TREATMENT:

The time the hygienist/doctor took to explain oral condition

Comfort during dental treatment

Cleanliness & overall condition of treatment room

COMMUNICATION:

Questions answered clearly by dental professional (doctor & hygienist)

Alternative treatment plans given

Questions regarding insurance, forms and payment plans were clearly answered

CUSTOMER SERVICE:

Staff was friendly & courteous

Waiting times in the reception area

Waiting times for dental professional to arrive in treatment room

Emergency call answered promptly

Response time to messages left with answering service or voice mail

Politeness & professionalism of phone conversations & confirmations

If you answered fair or poor to any of the above, please explain:

  

Satisfaction Survey