1. Please rate the appearance/impression of the following areas:Waiting Room54321CommentsTreatment Rooms54321CommentsReception Desk54321CommentsConsultation Room54321CommentsPlease rate the appearance and professionalisim of our front desk team54321Please rate your observations as it pertains to our front desk team (specific team members will be helpful)Please rate the appearance and professionalism of Dr. Simon's assistants54321Please relate your observations as it pertains to Dr. Simon's assistants (specific team members will be helpful)Please relate your observations as it pertains to Dr. Simon54321Please rate the effectiveness of our appointment phone call reminder system54321CommentsDid you enjoy your experience at this website?YesNoDid you know that you could register online to gain access to your personal account information?YesNoHow satisfied are you with the availability of appointment times?54321CommentsHow do we rate with regards to keeping on time for your scheduled appointments?54321CommentsIf you needed extra assistance with treatment (emergency appointment), how would you rate the response of Dr. Simon and/or Team?54321N/ACommentsHow would you rate the way in which the treatment plan was explained to you?54321CommentsHow satisfied were you with our policy on financial arrangements?54321CommentsBased on your experience, how likely are you to recommend our office to family or friends who need orthodontic treatment?Would RecommendUnsureWould Not RecommendFinal CommentsCAPTCHAPhoneThis field is for validation purposes and should be left unchanged.
