top of page

After Consult Questionnaire

How long did you wait to be seen for your consultation?
0-15 min
15-30 min
more than 30 min
Were all staff members polite and respectful?
Yes
No
Comments
Did you understand the Orthodontist’s treatment recommendation?
Yes
No
Comments
Were all your questions regarding your treatment answered?
Yes
No
Comments
What deters you the most from starting Orthodontic treatment? (Choose all that apply.)
Was the financial breakdown thoroughly explained to you?
Yes
No
Comments
How important is it for you to get a second opinion?
Very important
Somewhat important
Not necessary

CTOR Ortho 🟣 excelência em atendimento ortodôntico 🟣 79 Hudson Street,  2º andar ​Hoboken Nova Jersey 07030🟣551 900 6200​ 🟣 info@ctor.clinic​ ​

bottom of page