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We want your experience here at Dr. Styrt’s office to be a GREAT one!  We truly enjoy having you as a patient and we are committed to making our relationship together as fulfilling as possible. Please take a moment and let us know how we are doing.  

Please fill out and submit the form below.  Because these comments will be transmitted over the Internet, please do not include any sensitive information.

1. Were you pleased with the general flow of your appointment?

yes no

Comments:

2. Did you feel like Dr. Styrt and his team fully explained the treatment performed, gave thorough instructions and answered your questions?

yes no

Comments:

3. Did you feel like our team was ready and eager to assist you?

yes no

Comments:

4. Are there any areas in which our service could be improved?

yes no

Comments:

5. Our practice values happy, satisfied patients and our success is based on our patients’ recommendations. Would you refer your friends and family to us for their orthodontic needs?

yes no

Comments:

6. Did you receive exceptional service from one of our team members? If so, please share their name with us.

Name and Comments:

Verification Code (case sensitive):

Thank you for sharing your comments with us!



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