Patient Feedback

At Ewart Dental, we place an emphasis on creating a relaxed and trusting environment where patients feel they can express their needs and concerns. We welcome patient feedback for its importance in ensuring we are doing our utmost to meet your family's dental needs and expectations.

If you are a recent patient, please complete the below form at your convenience to let us know how we are doing.

Are you a new or a returning patient?	New Returning
Date of Last Appointment
Reason for Appointment	Regular Checkup Emergency Extraction Filling Implant Crown Bridges Whitening/Bleach Consultation Other
If 'Other,' please explain
Upon entering our clinic, how would you rate the way you were greeted and acknowledged by our staff?	Excellent Satisfactory Poor Unacceptable
How would you rate the quality of communication in arranging and confirming this appointment?	Excellent Satisfactory Poor Unacceptable
How would you rate the level of contact from our office?	Just the right amount Not enough Too much - I felt hassled
Were you treated in a professional and courteous manner by all the staff?	Very Somewhat Poorly Unacceptably
Were you seen promptly for your dental appointment?	Yes No
Were you anxious about your dental appointment prior to it?	Very Somewhat Not at all
Did you experience any pain or discomfort during your appointment?	Yes No
If yes, please explain
Were reasons for your dental procedures as well as the procedures themselves explained to your satisfaction by Dr. Ewart?	Very Somewhat Poorly Unacceptably
Were reasons for your dental procedures as well as the procedures themselves explained to your satisfaction by assistants?	Very Somewhat Poorly Unacceptably
Were financial matters handled in a professional manner?	Very Somewhat Poorly Unacceptably
Did you feel fees were fair and reasonable?	Yes No
Do you feel anxious or nervous about any future dental treatment?	Yes No
How can we improve the services we render to patients?
Would you recommend our office to friends and relatives?	Yes No
Additional comments
If you are not satisfied, do you wish to be contacted for follow-up?	Yes No
If yes to the above, please provide your name and the best way to reach you

OK »

8500 Macleod Trail S, Suite 232, Calgary, AB  T2H 2N1

(403) 253-1248