Give Us Feedback

Thank you for choosing Three Rivers Dental Group for your dental needs. Please take a moment to fill out the survey below.
What office did you visit?*
- Greentree
- Greensburg
- Jennerstown
- Cranberry
Was this the first time you visited this office?
- Yes
- No
How did you hear about our office?*
Approximately how long did you wait to see the dental professional?*
Approximately how long did you spend with the dental professional during your visit?
On a scale from 1 to 10, with ten being the best, please rate your experience with our office and staff:
How easy was it to schedule an appointment?
How appealing was the office in general?
How would you rate the friendliness of the front office staff?
How would you rate the effectiveness of the clinical staff?
How would you rate the clinical staff's professionalism when the doctor was not present?
On a scale from 1 to 10, with ten being the best or most likely, please rate your experience with the dentist/hygienist:
How would you rate your overall experience with our professional?
What is the likelihood you would return to this professional?
How likely are you to recommend this professional to your family and friends?
Did the professional spend enough time with you during your visit?
Did the professional listen to your questions carefully?
Did the professional answer your questions thoroughly and properly?
Did the professional discuss all available sedation options with you?
Please DO NOT use this form to request dental records. All dental record requests must be requested by phone from the office where you are a patient.
Additional comments you would like to share. (Remember that your responses are anonymous unless you fill in your personal information below.)
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Would you like the Practice Administrator to contact you regarding your experience with Three Rivers Dental Group?
- Yes
- No
How do you prefer to be contacted?
If by telephone, please give us your telephone number.
Email
This field is for validation purposes and should be left unchanged.

PA Department of Health Ruling Regarding Dental Appointments

Give Us Feedback

Thank you for choosing Three Rivers Dental Group for your dental needs. Please take a moment to fill out the survey below.

On a scale from 1 to 10, with ten being the best, please rate your experience with our office and staff:

On a scale from 1 to 10, with ten being the best or most likely, please rate your experience with the dentist/hygienist:

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