Dr. Ralph R. Reynolds
Oral and Facial Surgery
3520 E. 15th St. Suite 102, Loveland CO
970-663-6878
Patient Satisfaction Survey

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Patient Satisfaction Survey

Please take a moment to fill out our online Patient Satisfaction Survey, below.

Your Appointment

Waiting time in the reception area

Excellent

Satisfactory

Needs Improvement

Waiting time in the exam room

Excellent

Satisfactory

Needs Improvement

Our Staff

Courtesy and friendliness of the receptionists

Excellent

Satisfactory

Needs Improvement

Helpfulness of our staff in making your payment plans

Excellent

Satisfactory

Needs Improvement

The courtesy of our surgical assistants

Excellent

Satisfactory

Needs Improvement

Your Visit with the Doctor

Dr. Reynold listened to you

Excellent

Satisfactory

Needs Improvement

Dr. Reynolds took the time to answer your questions

Excellent

Satisfactory

Needs Improvement

Dr. Reynolds was courteous

Excellent

Satisfactory

Needs Improvement

Dr. Reynolds adequately explained treatment options

Excellent

Satisfactory

Needs Improvement

Our Facility; Cleanliness and comfort

Excellent

Satisfactory

Needs Improvement

Your Overall Satisfaction with the quality of your medical care

Excellent

Satisfactory

Needs Improvement

Would you recommend this practice to others?

Yes

No

If no, please tell us why:

If there is any way that we can improve our services to you, please tell us about it: