Confidential Patient Survey

This survey is anonymous: there is no way for us to track these answers back to you unless you type your name in the Comments or Name fields below. WE MAY PUBLISH YOUR COMMENTS ON OUR WEBSITE AND ON OTHER WEBSITES THAT FEATURE REVIEWS OF DENTISTS. You have the option (below) of keeping your comments confidential.

If your experience was positive, we encourage you to write a comment about it. WE MAY PUBLISH YOUR COMMENTS ON OUR WEBSITE AND ON OTHER WEBSITES THAT FEATURE REVIEWS OF DENTISTS. Again, this survey is anonymous: the only way we will know who you are is if you type your name in the Comments or Name fields below. If you don't want your comments to be published, please check the "Confidential" checkbox below.

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