Dentist Dr. Steve Sato, The Dental Offices at Elizabeth Place, Dayton, OH 937-226-1400

Patient Satisfaction Survey

We're interested in your complete satisfaction with our office staff, dental assistants and Dr. Sato.

Please complete the following Patient Satisfaction Survey - you have the option of remaining anonymous. Thank you in advance for your time.

If you would like to be contacted by The Dental Office at Elizabeth Place regarding your comments, please include the following information:

Name

Street Address

City, ST, Zip

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Phone

Email

Date of Visit

 

Please rate your satisfaction with each of the following:
1 = Very Satisfied; 2 = Somewhat Satisfied, 3 = Neutral, 4= Somewhat Dissatisfied, 5 = Very Dissatisfied

 

 

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Overall satisfaction with your Dental Office Experience

Telephone Communication

Receiving a warm and sincere greeting upon arrival

Timeliness of check-in

Ability of staff to anticipate your needs

Cleanliness

Quality of care

Satisfaction with checkout

 

Please rate your satisfaction with each of the following:
1 = Very Satisfied; 2 = Somewhat Satisfied, 3 = Neutral, 4= Somewhat Dissatisfied, 5 = Very Dissatisfied

 

 

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How likely are you to recommend us to family or friends?

 

Please rate your satisfaction with each of the following:
1 = Very Satisfied; 2 = Somewhat Satisfied, 3 = Neutral, 4= Somewhat Dissatisfied, 5 = Very Dissatisfied

 

 

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If you reported any problems, how satisfied are you with the resolution?

 

Please suggest any advice, product or amenity you would like added, or please let us know which staff members have made your visit more memorable.

 

 

Contact Us Today!

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