English | Español

Tri-City Children's
Dentistry

3230 Waring Court
Suite Q
Oceanside, CA 92056

Tel: (760) 724-1102
Fax:(760) 724-1471

Tri-City Childrens Dentistry

How would you rate your initial phone conversation with our office?

Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied

Were you warmly greeted when you entered our office?

Yes
No

Were the registration forms easy to understand and complete?

Yes
No

How satisfied were you with the dental assistants helping your child?

Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied

Did the doctor listen carefully to your concerns and answer all of your questions?

Yes
No

If treatment was recommended for your child, did you understand what treatment was needed, and how the treatment was going to be provided?

Yes
No
Not Applicable

During checkout, were all your financial and insurance questions answered?

Satisfied
Dissatisfied

How would you rate your overall experience at our dental office?

Great
Good
Fair
Bad
Terrible

How was your child's overall experience at our office?

Wonderful
Good
O.K
Bad!
Yuki!

Would you recommend us to your friend or neighbor if they were looking for a pediatric dentist?

Yes
No

What are the things that you liked about our office?

What could we do to improve our practice?

Your Name:

Your E-Mail:

Enter code, shown on the picture: