Satisfaction Survey

In order to better serve you, we would appreciate your comments concerning your recent visit to Urban Oasis. Please choose the answer that most closely matches your response to the statements listed below.

We appreciate your time and look forward to seeing you again soon.

Name

Email

How long have you been a patient?

Was this your first visit the new Urban Oasis?

It was easy to schedule my appointment.
 Agree Disagree No Opinion Not Applicable

The appointment times/days are convenient for me.
 Agree Disagree No Opinion Not Applicable

I was seen on time for my appointment.

The dental assistant was courteous to me.

The dentist was sensitive to my comfort and explained my dental problems clearly.

I would recommend Urban Oasis to others.

Other Comments or Suggestions*

Thank you for submitting your feedback. We appreciate your time and look forward to seeing you again soon!

Comments are closed.