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Date of Surgery
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Was this your first visit to Daydreams Procedure Center?
Name of Dentist in charge of your child’s care
Dr. Cristian Brutten
Dr. Brigett Jones
Dr. Daniel Miller
Dr. Chad Zillich
Please rate the services you received with a check in the appropriate box.
Surgical procedure was discussed clearly prior to the event
The phone call to prepare for surgery was helpful
Billing and insurance questions were answered clearly
The facility was comfortable and organized
The facility was convenient
The facility staff was corteous and efficient
The staff was available to answer questions and explain procedures
Anesthesiologist’s explanation was clear and questions answered
Post-surgery instructions were explained clearly
Staff concern for privacy
What did you like about Daydreams?
Were there any problems you did not anticipate?
How might we improve?
How did you find out about Daydreams?
Would you tell others about Daydreams?
Would you like to be contacted?
Please enter a valid phone number.
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Patients & Parents