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(5-1 Scoring, 5=Highly Satisfied, 1=Not Satisfied) Highly Satisfied Not Satisfied
Question	5 4 3 2 1
1. Was it easy to schedule a convenient appointment?
2. Were you greeted in a prompt and friendly manner?
3. Was the dental hygienist professional and courteous?
4. Were the fees for your treatment explained to your satisfaction?
5. Was the dentist considerate and sensitive to your needs?
6. How would you rate the cleanliness of the dental facility?
7. Was your dental treatment completed to your satisfaction?
8. How would you rate your overall experience?

Yes/No Answers
Question	Yes No
9. Would you return to our dental practice for future work?
10. Would you refer a friend to our dental practice in the future?

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Arthur A. Kezian, D.D.S. :: Narine Tashjian, D.D.S.
443 North Larchmont Blvd., Los Angeles, CA 90004
Phone: (323) 467-2777 :: E-mail: kezian@msn.com

Friday, May 09, 2008

Porcelain Veneer

Porcelain Crown

Anterior Esthetic

Friday, May 09, 2008

Copyright 2005 Dr. Arthur Kezian | Business | Articles | Designed & Maintained By Michael Kezian