At Sandalwood Oral and Maxillofacial Surgery we are constantly striving to provide our patients with the best surgical care possible. In an effort to ensure that our office continues to provide outstanding surgical care, we have created a patient survey on our web site. Please take a moment to complete our anonymous survey so that we may continue to provide the highest quality care for our patients. Thank you for your time, honesty and effort.

1. How did you hear about us? (required)

2. Did we provide you with a thorough explanation, and address all questions concerning your procedure?
Yes    No

If not please explain.

3. After the procedure, were you given thorough home care instructions?
Yes    No

4. Did our office hours accommodate your schedule?
Yes    No

5. Were we able to schedule an appointment for you within a reasonable time frame?
Yes    No

6. Did you receive adequate explanation of all fees associated with your procedure?
Yes    No

If not please explain.

7. Would you recommend our practice to others?
Yes    No

8. How would you rate the quality of care you received from the Doctor (Dr. Bhatti)?
1    2    3    4    5

9. How would you rate the quality of care you received from the staff?
1    2    3    4    5

10. Over all how would you rate your experience with us?
1    2    3    4    5

If you have any additional comments, please explain: