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Fairfax Oral Surgery Patient Satisfaction Survey

About Your Visit

As a patient and or guardian of a patient who was treated at Fairfax Oral Surgery, we would like to invite you to participate in our satisfaction survey.  Your opinion is important in helping us provide the highest standard of care and customer service.  We thank you for your participation and feedback.
1. Are you a new or returning patient/guardian?
2. Scheduling your appointment was easy and free of confusion.
Strongly AgreeAgreeNeutralDisagreeStrongly Disagree
3. Have you ever had an appointment with Fairfax Oral Surgery that has been rescheduled? *This question is required.
4. How many times were you rescheduled? *This question is required.
6. Are you satisfied with the time you waited to see your surgeon?
Very SatisfiedSatisfiedNeutralDissatisfiedVery Dissatisfied
7. How well did we do in explaining your diagnosis and treatment procedures?
ExcellentVery GoodGoodFairPoor
8. How well did we do in explaining alternative care options?
ExcellentVery GoodGoodFairPoor
9. How well did we do at maintaining your level of comfort during your procedure?
ExcellentVery GoodGoodFairPoorN/A
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