Member Login
User Name:
Password:
Register
1100 Richmond Avenue, Unit B
Brandon R7A 1m6
MB CA
Tel (204) 727-6453
Fax (204) 571-1560
Email Us

 

We want to hear from you!

As part of our effort to provide the best quality orthodontic care, we are asking you to please take a few minutes to give us your thoughts.

Please choose the answer that best describes your feelings and experiences.


User Information

Name:    Email Address :

Telephone Courtesy


Poor
Good
Excellent

Seen on Time


Yes
No

Scheduling Appointments


Poor
Good
Excellent

Friendliness


Poor
Good
Excellent

Care by Dr. Bales


Poor
Good
Excellent

Care by Staff


Poor
Good
Excellent

Quality of Treatment


Poor
Good
Excellent

Was there anyone in our office that made your experience special or difficult?


Yes
No

Why?


Comment :

What else could we do to improve a patient's experience in our office?


Comment :
Type captcha:
captchas