Patient Survey

We Invite Your Feedback!

At Ellicott City Dental Care, we strive to offer the very best in patient care. In order to provide that care we turn to our patients for advice. Please take a moment to complete the patient survey below. We thank you in advance for your time and participation. This information is confidential, and will only be used to improve our service.

1. Was this your first visit to our office?

2. If "yes," how did you hear about us?

3. What was the purpose of your visit?

Please provide your experience from a scale of great to poor. If the questions does not apply, simply select 'does not apply'.

4. Ease of setting your appointment

5. Greeting by our receptionist when you arrived

6. Cleanliness/neatness of the office

7. Length of time you had to wait before you were called for your appointment

8. In your own words, let us know any issues or concerns you may have about our services or office practices and procedures.

9. How likely is it that you would recommend our dental office to your family members, co-workers, and friends?

If you would like to provide us with your contact information, please complete the fields below.

Your Name

Your Email

Your Phone