>> Your Overland Park Dentist at Overland Park Smiles, provides outstanding cosmetic dentistry, dental implants and migraine treatment to patients of all ages in Overland Park, KS.
12870 Metcalf Avenue, Overland Park, KS. 66213
   
 
(913) 851-8400


Patient Survey

 


 

Please take a moment to complete our survey.  Your comments are welcome and completely confidential. Your input will help us improve our service.  Thank you.

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.

Patient Name :
E-mail Address :
Date of your last visit:
How was the treatment you received :
How comfortable were you during the treatment you received :
Was your treatment explained to you so that you have a clear understanding of your dental situation :
Were your financial options explained to you? :
How long did you wait before being seated in a room?
Would you refer your friends and family to us? :
Please comment below on how we could make your next visit better and more comfortable.  Thank you.:


 
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New Patient Offer
Receive a FREE Consultation for Cosmetic Dentistry or Healthy Gums.

Refer-a-Friend Offer
In appreciation of your confidence in us and referring a friend, you will be rewarded with a $50.00 Gift Card, and your friend will receive a $50 credit on their account.

Offers Expires:  Jul 29 2010

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Overland Park Dentist · 12870 Metcalf Ave · Overland Park, KS · 66213