How can we make you smile?

If you are a patient of Bassett Creek Dental, we would appreciate your feedback. Please fill out this online form and submit it to us (anonymously if you prefer, or provide your name/number for a call back).

When you called to make an appointment, the staff members were courteous and helped find a suitable time.

Upon arrival, you were greeted in a friendly manner and were put at ease.

You were seated by your appointment time or advised of any delays.

The dentist/hygienist listened to and understood your concerns.

The dentist/hygienist adequately explained the treatment plan and answered your questions.

You felt that the staff was concerned about your overall well being as a person and not just your dental condition.

You are comfortable with the level of technology used in the office.

If you had a concern during your last visit, it was properly handled by the staff.

You understood the bill for services rendered and any questions were answered to your satisfaction.

Overall, how do you rate our office?

Would you refer a family member or friend to our office?

Did you know that with our Friends & Family Referral Program, both you and your referral can receive a $25 credit for any dental service at Bassett Creek Dental?

Is there anything you would like to change about your smile?

Are you interested in a free cosmetic consultation with a dentist?

Do you have any other comments?