Patient Feedback

We appreciate you taking the time to complete our survey. Please feel free to comment on your visit as well. Any comments you choose to make are kept strictly confidential and can only help us become better in the future.

If you prefer to remain anonymous we would still appreciate your opinion, please leave the first two fields blank.

Patient name

E-mail address

How would you rate your overall visit?
Excellent Very Good Average Not so good

When your appointment was over did you have a good understanding of your dental situation?
Yes Not really I wish I knew more about my situation

Were your financial options explained to you?
Yes No I already understand my financial options

Did you have to wait over 15 minutes past your appointment time to be seated? If so how long?
No 15 to 30 minutes 30 to 45 minutes Over 45 minutes

Did the staff greet you properly?
Yes Not really I don't recall

Would you refer your friends and family to us?
Yes No I'm not sure

Please comment on how we could make your visit better, new services you would like to see, or other ways we can make you feel more comfortable.

Your Personal Invitation

We invite you to explore our website, browse our Smile Showcase, meet our team, and review our services. Then call the Clinton Township dental office of Dr. Mindy Salzberg-Siegel today to reserve your personal consultation. For more than 25 years, we've delivered the personalized care and excellent service our patients deserve – and they can't stop smiling!