Copy of Customer Satisfaction Survey Listening to customers has always been important to us. Your feedback will help us better serve people like you! Question Title * 1. How long have you been a patient of Dental Care at Moon Valley? Less than six months Six months to a year 2-5 years More than 10 years I am not a patient Question Title * 2. Overall, how satisfied are you with Dental Care at Moon Valley? Extremely satisfied Very satisfied Somewhat satisfied Not so satisfied Not satisfied at all Question Title * 3. How well is our office kept? Extremely well Very well Somewhat well Not so well Not at all well Question Title * 4. How would you rate the quality of our providers? Very high quality High quality Neither high nor low quality Low quality Very low quality Question Title * 5. How would you rate the value for your money to the quality of our services? Excellent Above average Average Below average Poor Question Title * 6. How responsive have we been to your questions or concerns? Extremely responsive Very responsive Somewhat responsive Not so responsive Not at all responsive Not applicable Question Title * 7. How likely are you to recommend Dental Care at Moon Valley to Family/Friends? Extremely likely Very likely Somewhat likely Not so likely Not at all likely Question Title * 8. How likely are you to return to our office? Very likely Likely Neither likely nor unlikely Unlikely Very unlikely Other (please specify) Question Title * 9. Feel free to leave your name and any other comments, questions, or concerns? Done