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Feedback Survey

Thank you for taking the time to complete our survey! It is valuable to our team in many ways. Thank you for helping us continue to improve your experience.

Survey Form

Please rate your experience on a scale of 1-5

1 – Not at all
2 – Rarely
3 – Neutral
4 – Usually
5 – Always
N/A – Doesn’t apply to me

The office entrance, reception & treatment rooms are exceptionally clean *12345N/A

Appointment times and information were clearly communicated *12345N/A

Financial information was clearly explained prior to my appointment *12345N/A

I felt confident with the information that was provided to me over the phone *12345N/A

The person I spoke to over the phone made me feel like they cared about me and my health *12345N/A

I was greeted warmly by the team *12345N/A

During my visit, I felt at ease and comfortable *12345N/A

The team let me know about optional amenities *12345N/A

The amenity items made my visit more comfortable and enjoyable *12345N/A

During my visit, I felt the team cared about me and my health *12345N/A

My routing cleaning visit was comfortable and pleasant *12345N/A

My hygienist was clear and informative *12345N/A

My routing cleaning visit felt smooth, efficient and thorough *12345N/A

My hygiene appointment is usually on time, and I feel confident scheduling my day around my visit *12345N/A

The dentist was welcoming and gentle *12345N/A

The dentist explained things clearly & concisely *12345N/A

The dentist understood my dental concerns *12345N/A

The dentist(s) care about me and my health *12345N/A

I did not have any lingering questions after consulting with the dentist regarding my care *12345N/A

I felt confident with the exam & care my dentist provided *12345N/A

My appointment with the dentist is usually on time, and I feel confident scheduling my day around my visit. *12345N/A

The team made me feel at ease and comfortable *12345N/A

I feel comfortable expressing my concerns and asking questions to the dentist(s) & team *12345N/A

The practice is friendly and makes me feel appreciated *12345N/A

I would recommend this dental practice to friends & family *12345N/A

Overall, I am quite satisfied with the care I receive with this practice *12345N/A

Please feel free to share any additional thoughts below. We’d love to hear what we are doing well, as well as what might improve your next visit.

Austin Dentist | Northwest Austin

4005 SPICEWOOD SPRINGS ROAD, SUITE C500 AUSTIN, TEXAS 78759
(512) 835-9557
office@512smiles.com

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General Dentistry
Teeth Whitening
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Clear Aligners
Emergency Dentist
Crowns

Open Hours

Monday - Wednesday:
07:30 AM - 03:30 PM
Thursday:
07:30 AM - 03:00 PM
Friday-Saturday:
Available via phone
Sunday: Closed
Emergency Hours Available.

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