Krause Dental Care Survey

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Please help give us feedback through this quick 10 question survey on our practice and staff to assist us as we continually strive to give our patients the best service possible!

Question 1

Your name

Question 2

Were you satisfied with the staff's professionalism on the phone?

Very satisfied

Satisfied

Somewhat satisfied

Unsatisfied

Clear selection

Question 3

How would you rate your overall visit?

Excellent

Very good

Average

Below average

Clear selection

Question 4

When your appointment was over, did you have a good understanding of your dental situation?

Yes, completely

No, not at all

I wish I knew some more about my situation

Clear selection

Question 5

Did the staff properly greet you?

Yes

Not sure

Clear selection

Question 6

Would you refer your friends and family to us?

Yes

Not sure

Clear selection

Question 7

Tell us what you like most about our office and staff, or what we can change.

Question 8

Were the doctor and staff professional and courteous to you?

Yes

Not sure

Clear selection

Question 9

Were your financial matters handled in a timely and well addressed manner?

Yes

Not sure

Clear selection

Question 10

Additional comments/concerns.

Submit

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