Feedback

Send Us Your Feedback!

We are always open to your feedback and suggestions about your recent visit or experience with our office or website. Your feedback is valuable to us, and we will do our best to accommodate your requests. Please fill out the form below and include contact information, so that we may contact you to address any outstanding issues.

* Which office did you visit? (required)
Was our office neat & clean?	Yes No
Were you treated promptly and courteously?	Yes No
Was the cost of the services within your means?	Yes No
Did you understand your treatment options as they were explained to you?	Yes No
Were you pleased with the care given to you?	Yes No
Did you have confidence in your Doctor?	Yes No
The Staff?	Yes No
Would you refer your friends and family to Gentle Dental?	Yes No
Did you compare our fees to other offices?	Yes No
* Email (required)
* Confirm Email (required)
* First Name (required)
* Last Name (required)
* How did you find our website? (required)
If other, please specify:
Do you have any suggestions to make our services better for you?

	Thanks for taking the time to help us help you!