1. Was Dr. Tadej open, honest, and thorough in answering you or your child’s treatment questions?
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2. Do you feel you/ your child received adequate person attention from Dr. Tadej and Staff?
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3. Were you happy with you/ your child’s finished treatment results?
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4. Do you feel that Dr. Tadej and our staff really care?
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5. Were you/your child usually seen on time?
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6. Did the physical environment of our office meet your expectations?
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7. Were your orthodontic emergencies handled promptly?
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8. Would you refer other patients to our practice?
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9. Do you feel the scheduling, billing, and other office systems are user friendly?
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10. Do you feel that you/your child have received fair value for the orthodontic fee?
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11. What do you like best about our office?

12. What do you like least about our office?

13. Where do you think we need improvement?

14. What was the main factor that caused you to decide to have treatment with our office?

15. Please add additional comments that would help us serve you and others.