YOUR DENTIST SURVEY

Combined with feedback from other patients, your survey responses will be used to update your dentist's profile.

*What is your dentist’s full name? Which state is your dentist located in? AL AK AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC NE NH NJ NM NV NY ND OH OK OR PA RI SC SD TN TX UT VT VA WA WI WV WY *How many years have you been a patient of this dentist? *How far do you typically commute to your dentist's office?   Less than 15 miles ✔    Less than 15 miles ✔

  More than 15 miles ✔    More than 15 miles ✔ * Do other members of your family or household receive treatment from your dentist?   Yes ✔    Yes ✔

  No ✔    No ✔ * During appointments, does your dentist typically treat one patient or more than one?   One patient ✔    One patient ✔

  More than one ✔    More than one ✔ * Would you describe your dentist's treatment style as "Conservative", "Comprehensive", or "In-Between"?

🛈 'Conservative' treatments involve minimally invasive procedures focused on preserving healthy tooth structure and monitoring certain conditions instead of treating them immediately.
'Comprehensive' dental treatments aim to keep the patient's oral health in a good condition in the long run and prevent potential future dental problems sooner rather than later.

  Comprehensive ✔    Comprehensive ✔

  Conservative ✔    Conservative ✔

  In-Between ✔    In-Between ✔ If your dentist is currently in your dental insurance network, what is the name of the insurance? (Optional)   Aetna ✔   Aetna ✔   Anthem/BCBS ✔   Anthem/BCBS ✔   Cigna ✔   Cigna ✔   Delta Dental ✔   Delta Dental ✔   Guardian ✔   Guardian ✔   Metlife ✔   Metlife ✔   United Healthcare ✔   United Healthcare ✔   Medicare ✔   Medicare ✔ Do you have any additional comments about your dentist? (Optional) If you would like your dentist to be notified that you took this survey, please enter your name below: (Optional) Submit Survey