Patient satisfaction survey

Name: Haney Orthodontics
Telephone: 415-453-7880

How are we doing?

At Haney Orthodontics, our goal is to ensure that your experience in working with our office, during our current climate, is as convenient and pleasant as possible and that our patients have a positive experience throughout their entire appointment journey.

We would greatly appreciate any feedback, negative or positive, so we may improve our performance in the future. Thank you for taking the time to complete this survey.

*Name

Email*

* 1. How convenient was the appointment time you were able to get?

Extremely convenient

Somewhat convenient

Not at all convenient

Comments

* 2. Was the process in checking in for your appointment efficient and seamless?

Yes

Comments

* 3. Were you greeted in a professional and courteous manner by our staff?

Yes

Comments

* 4. Were you seen at your scheduled appointment time?

Yes

Other (please specify)

* 5. Did you feel you had all of the information to properly prepare for your appointment (e.g., oral hygiene instructions, protective equipment, patient health assessment)?

Yes

Comments

* 6. Did Dr. Haney and the staff thoroughly explain your orthodontic treatment, instructions, and answer your questions thoroughly?

Yes

Comments

* 7. Did you feel our facility provided a safe and comfortable environment for your appointment?

Yes

Comments

* 8. Are there any areas in which our service could be improved?

Yes

Comments

* 9. Would you recommend Haney Orthodontics to your friends, family and colleagues?