13515 NE 175th Suite B • Woodinville, WA 98072
Call (800) SMILING • (800) 764-5464 • (425) 483-2442
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Comment Form

We enjoy having you as a patient and we are committed to making our relationship together as fulfilling as possible. In order to better serve our patients, we ask for your suggestions and comments about our services.

Please fill out the form below and click the SUBMIT button to send us your comments.

You may insert your name or leave blank to submit anonymously.

  1. Overall, how would you rate your visit?

  2. Did you think that our doctor(s) and team fully explained your treatment options, instructions and questions?

  3. Were your costs and financial options explained to you?

  4. Did you have to wait past your appointed time? How long did you wait?

  5. Were you greeted properly?

  6. Our practice values happy satisfied patients and our success is based on our patients' recommendations. Can we count on you to refer your friend and family to us for their dental needs?

  7. Please comment on any aspect of your visit, anyone connected with your visit, things we could do better, or ways we can make your next visit more comfortable.