Birmingham Orthodontics

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Comments Form

Dear Patient,

In our effort to continue providing superior orthodontics care to our patients, we would appreciate if you would take the time to complete this new patient comment sheet. Thank You in advance.

Dr. Masri & Staff.

How was our phone courtesy and promptness?
- Superior
- Good
- Fair
- Poor
How satisfied were you with our introduction package (office brochures, office info, etc)?
- Superior
- Good
- Fair
- Poor
How thorough was Dr. Masri's evaluation, and did he recognize your chief concerns?
- Superior
- Good
- Fair
- Poor
How satisfied with our treatment aproach and recommendation?
- Superior
- Good
- Fair
- Poor
What do you think of our promptness and flexibility in scheduling you evaluation appointment?
- Superior
- Good
- Fair
- Poor
Were the fees and the fee policies adequately explained?
- Superior
- Good
- Fair
- Poor
How would you rate your overall experience during your first visit?
- Superior
- Good
- Fair
- Poor
Was your experience positive enough to recommend our team to other family members and friends?
- Yes
- No
Please list the part of your experience you liked the most.
If you could change one thing about your visit, what would you suggest?

(248) 723-2223
Contact Us to Schedule Your Free Consultation

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in our office.

373 Old Woodward Av
Birmingham, MI 48009
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