(610) 265-3034 voice (610) 962-0192 facsimile
(610) 409-9880 voice (610) 409-9895 facsimile
Dear Patient and/or Parent,
We are constantly striving to provide better treatment and care for our patients. We would like to know how you perceive our services. Please take a few minutes to complete this Patient Survey Questionnaire. Your responses are anonymous and will be used to better the office. Your cooperation is greatly appreciated.
Please use the following scale for your responses:
5. Very Good 4. Good 3. Average 2. Poor 1. Very Poor
8. Have you visited our website at www.orthodontists.com?
9. Did you know that you could register online to gain access to your personal account information?
