Patient Name
(Optional)
Date of Service
How would you rate your overall visit?
Did the staff treat you professionally on the phone?
Did the staff greet you properly?
Comments
Were the assistants and hygienist's friendly and professional to you and your child?
Was the doctor professional and courteous to you and your child?
Did cleanliness of our practice meet your expectations?
Home | Our Team | First Visit | Patient Survey | Our Philosophy | Dental Topics | Photo Gallery/Office Tour Patient Survey | Community Outreach | Activities for Kids | Contact Us
Copyright © 2005 Donald C. Schmitt & Randall R. Wiley, D.D.S., Inc. All Rights Reserved. Click here to read our Disclaimer. Click here to read our Privacy Policies and Procedures.
Web Site Designed by Dentists4Kids.com
Pediatric Dentists ~ Dr. Donald Schmitt and Dr. Randall Wiley Servicing the Concord, CA and Danville, CA area.