Patient Survey | Desmarais and Vermette Orthodontics

Our Orthodontic mission is to provide outstanding treatment and service to all of our patients. In order to assess how we are doing, we appreciate your feedback!

	Outstanding	Good	Needs Work*
*Initial Visit*
Introduction to office			*
Doctor’s exam			*
Financial information			*
Questions answered			*

Treatment Coordinator and Clinical Staff
Explanation of treatment plan			*
Explanation of procedures/instructions			*
Competence/knowledge			*
Care and empathy			*
Courtesy and response			*
Support throughout treatment			*

Administrative/Scheduling Staff
Hospitality			*
Professionalism			*
Scheduling efficiency			*
Telephone Response Time			*

Facility
Reception area			*
Clinic area			*
Parking			*

Would you recommend our service to others?	Definitely With Reservations*

*Additional comments appreciated:


*Optional information*
Name:
Phone:
Email: