Please take a minute to share your experiences with Dr. Barsoum

Patient First Name:

Patient Last Name:

Email Address:

How would you rate your overall visit?
     Excellent
     Very Good
     Average
     Not so good

When your appointment was over did you have a good understanding of your dental situation?
     Yes
     Not really
     I wish I knew more about my situation

Were your financial options explained to you?
     Yes
     No
     I already understand my financial options

Did you have to wait over 15 minutes past your appointment time to be seated?  If so how long?
     No
     15 to 30 minutes
     30 to 45 minutes
     Over 45 minutes

Did the staff greet you properly?
     Yes
     Not really
     I don't recall

Would you refer your friends and family to Dr. Barsoum?
     Yes
     No
     I'm not sure

Testimonials

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