Dental Survey

We are very interested in your feeback, so please fill out the form and let us know what you think of our dental services.  Please do not send sensitive data using this form.

Patient's Name:  (optional)
Email Address:  (optional)
  1. How would you rate your overall visit?
    Excellent Very Good Average Not so good
  2. When your appointment was over did you have a good understanding of your dental situation?
    Yes Not really I wish I knew more about my situation
  3. Were your financial options explained to you?
    Yes No I already understand my financial options
  4. Did you have to wait over 15 minutes past your appointment time to be seated? If so how long?
    No 15 to 30 minutes 30 to 45 minutes Over 45 minutes
  5. Did the staff greet you properly?
    Yes Not really I don't recall
  6. Would you refer your friends and family to us?
    Yes No I'm not sure
  7. Please comment on how we could make your visit better, new services you would like to see, or other ways we can make you feel more comfortable.

Questions?

Complete the form below if you have any questions. We will respond as soon as possible. Please do not include any sensitive information.





Enchanting Dentistry
University Professional Plaza
8200 W Sunrise Blvd
Plantation, FL 33322
Map & Directions
 
Phone: (954) 271-2384
 

Office Hours*:
Monday8:00am-5:00pm
Tuesday 9:00am-7:00pm
Wednesday8:00am-5:00pm
Thursday9:00am-7:00pm
Friday 8:00am-12:00pm


*After Hour and Weekend Emergencies