banner_newpatientsWe are always open to your feedback and suggestions about your recent visit to our office.  Your feedback is extremely valuable to us.  We thank you for taking the time to complete this survey.

Was the office neat and clean?  : 
Yes No
Were you treated promptly and courteously?  : 
Yes No
Did you understand your treatment options as they were explained to you?  : 
Yes No
Were you pleased with the care you were given?  : 
Yes No
Did you have confidence in the Doctor?  : 
Yes No
Did you have confidence in the Staff?  : 
Yes No
Was the cost of the service within your means?  : 
Yes No
Were your insurance benefits & payment options explained to you?  : 
Yes No
Would you refer your friends or family to Harbor Cove Dental?  : 
Yes No
Name (Optional)  : 
Suggestions or Comments  :