Did you receive sample toothbrushes or toothpaste to take home?
                        
                        
                            Yes, I received sample toothbrushes and toothpaste
                        
                        
                            Was the chair you sat in during your dental procedure comfortable?
                        
                        
                            No, I couldn't wait to get out of it
                        
                        
                            Were you able to get answers to simple questions from this provider without scheduling an appointment?
                        
                        
                            Yes
                        
                        
                            Did you leave the office feeling satisfied with your visit?
                        
                        
                            Not satisfied, but not unhappy
                        
                        
                            Did this provider ever postpone your appointment?
                        
                        
                            Sometimes, a little too often