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202, 10601 Southport Rd SW
Calgary T2W 3M6
Alberta
Canada
Tel 403 225 3404
Fax 403 225 3437
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Patient survey

We want to hear from you! As part of our continuing effort to provide the best possible dental care, we ask you to take a few minutes to give us your thoughts..

User Information

Name : Email Address :

1.Telephone Courtesy

 Excellent
 Good
 Poor

2. Seen on Time

 Excellent
 Good
 Poor

3. Scheduling Appointments

 Excellent
 Good
 Poor

4. Friendliness

 Excellent
 Good
 Poor

5.Care by Dr Gearty

 Excellent
 Good
 Poor

6. Care by Hygiene Staff

 Excellent
 Good
 Poor

7. What could we do to improve a patient’s experience in our office?

8. Would you like to comment on what we are doing well?

9. Other comments?