Locations
Bay Pointe Dental
7878 Ustick Road
Suite 101
Boise, ID 83704
208.376.2920
directions
Boise Downtown Dental
398 S. 9th Street
Suite 230
Boise, ID 83702
208.336.0003
directions

Patient Forms

 

In order to constantly provide you with the best care possible, we have implemented a short patient survey. Your help in filling out this survey is appreciated and will allow us to maintain our high standards of oral health care.

Which office where you seen at?

What type of appointment did you come in for (cleaning, fillings, etc.)?

Were you seen on time for your appointment?

How would you rate the friendliness of our doctors and staff?
(1 = poor, 10 = excellent)
1 2 3 4 5 6 7 8 9 10

Is there any staff member who was especially helpful or friendly?

How would you rate the cleanliness of our office?
(1 = poor, 10 = excellent)
1 2 3 4 5 6 7 8 9 10

How would you rate our office in terms of professionalism and quality?
(1 = poor, 10 = excellent)
1 2 3 4 5 6 7 8 9 10

Taking into account quality and service, do you feel our dental office provides a good value?

Why do you feel this way (optional) ?

Would you recommend our office to your friends and family?

Are there any ways in which we can improve our office to better serve you?

If there was some part of your visit that you felt could be improved in some way, feel free to leave your phone number or e-mail address if you would like us to contact you?

Are there any ways in which our doctors or staff performed especially well or exceeded your expectations?

May we use your testimonial on our website or in other media we produce?

If so, what is your first name?

 

Thank you for your time! Please also feel free to also rate our business at Checkabiz.com