Jeff Rosenthal, D.D.S.
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Returning Patients
We believe you should be able to tell us what we're doing right and wrong anonymously. Please share your comments with us and we will continue striving for the best.
Returning Patient Survey
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Indicates required field
When was your last visit to the office?
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Just put a month and a year; no date is necessary.
On a scale of 1-5, how pleased were you with the experience (5 being the most pleased, 1 the least)?
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1
2
3
4
5
What made you feel that way? Keep in mind pricing, waiting times, staff interactions, amenities, procedures done, patient education, and interest in you.
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You can make this as long or short as you like, but please share honest criticism or praise with us. We want to always better our service for you. This survey is optional, so we hope it means you are here with something to share.
Please check the parts of your visit you feel met and/or exceeded your expectations:
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Making the appointment
Finding the location
Parking
Reception (checking in, timeliness, amenities)
Doctor interaction
Actual procedure (efficiency, pain, result, appearance)
Payment (fairness of price, method of payment)
Please share any dissatisfactions.
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