3455 Whipple Ave. NW
Canton, OH 44718
Call Today:
330.754.0357
Contact Us
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Patient Survey
Make an Appointment with Dr. Catherine L. Forster Today
 Call: 330-754-0357
 Online Form: Click Here
 Email: Click Here
Make an Appointment with Dr. Dale Smith Today
 Call: 330-493-3121
 Online Form: Click Here
 Email: Click Here

Patient Survey

Please answer the private questions below so that we can continue
to improve our services and quality of care.
5=highly satisfied   1=unsatisfied
Was it easy to schedule an appointment?
 5  4  3  2  1  N/A 
Were you greeted in a prompt manner?
 5  4  3  2  1  N/A 
Was your waiting time reasonable?
 5  4  3  2  1  N/A 
Was your provider sensitive to your needs?
 5  4  3  2  1  N/A 
Was your treatment clearly explained?
 5  4  3  2  1  N/A 
Was your treatment completed to your satisfaction?
 5  4  3  2  1  N/A 
How would you rate the cleanliness of our office?
 5  4  3  2  1  N/A 
Would you refer a friend/family member to our practice?
 5  4  3  2  1  N/A 
Would you return to our practice in the future?
 5  4  3  2  1  N/A 
How would you rate your overall experience?
 5  4  3  2  1  N/A 
Private comments for our Practice:  
 
   
The feedback in this survey is sent directly to us and is not shared with anyone. We appreciate your taking the time to let us know how your visit was and how we can keep serving you in the future.
330-754-0357 
3455 Whipple Ave. NW, Canton, OH  44718
Proudly Providing Quality Dentistry to Canton, Ohio and the surrounding communities.
Dr. Catherine L. Forster 2017. All Rights Reserved. Site created and maintained by RAMP Sites
Canton OH Dentist Patient Survey Dr. Forster (330) 754-0357 - Patient Survey