O'Loughlin Dental

1. What did you have done today?
 Cleaning Other

2. Did your appointment start ON TIME?
 Yes No

3. Did the staff listen to and understand all of your needs and answer all your questions?
 Yes No Sort of

4. Did you feel well taken care of by everyone involved in your visit? (if no, please explain):
 Yes No

5. How would you rate your overall experience?..1 being the worse and 5 being the best.
 1 2 3 4 5

6. Would you recommend our dental office to a friend, co-worker or relative?
Very likelySomewhat likelyNeutralUnlikelyVery unlikely

7. Comments

8. Name (optional)

9. Email (optional)