Circle the number that corresponds to your level of satisfaction.
5- Very good
* All fields are required.
1. Was the delay reasonable between the scheduled time of your appointment and the actual time you were seen?
Specify the delay :
2. Were you progressively informed of your exam or treatments as well as those to come?
3. What is your degree of satisfaction for services rendered?
4. During your waiting period, did the following elements facilitate the wait?
5. Was the staff courteous at your arrival?
6. Did you experience any difficulties trying to obtain an appointment?
Suggestions (so as to improve our service)
Â© EsthÃ©tique dentaire DIX30
6000, boulevard de Rome, Bureau 205, Brossard (QuÃ©bec) J4Y 0B6
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