YOUR DENTIST SURVEY

Please complete the survey below to help your neighbors find the right dentist.
Your input is valuable.

*What is the name of your dentist? 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 ✔ * Does anyone else in your family or household receive dental care from your dentist?   Yes ✔    Yes ✔

  No ✔    No ✔ * During your appointments, does your dentist usually see one patient at a time or more than one?   One patient ✔    One patient ✔

  More than one ✔    More than one ✔ * How would you describe your dentist's treatment style: Conservative - focusing on essential minimally invasive treatments, Comprehensive - addressing both immediate and long-term potential dental needs, or In-Between - a mix of both?   Conservative ✔    Conservative ✔

  Comprehensive ✔    Comprehensive ✔

  In-Between ✔    In-Between ✔ If your dentist is covered by your dental insurance, what are your insurance provider names? (Optional)   Aetna ✔   Aetna ✔   Anthem/BCBS ✔   Anthem/BCBS ✔   Cigna ✔   Cigna ✔   Delta Dental ✔   Delta Dental ✔   Guardian ✔   Guardian ✔   Metlife ✔   Metlife ✔   United Healthcare ✔   United Healthcare ✔   Medicare ✔   Medicare ✔ Anything else you'd like to share about the dental care or service you received from 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