Comment Form

To Our Valued Patients,

You are very important to us and we are interested in knowing how you feel about our practice—the contact you have with us, the quality of care you receive and the manner in which you are treated by our team. Your candid comments are the key to helping us continually improve our services. Please take a moment to complete this questionnaire.

1. Did Dr. Gabler, Dr. Hanson and our team members take time to listen to your concerns and answer your questions?

YesNo

2. In an emergency, is it easy to get in touch with our office?

YesNo

3. Are you using our website www.gablerortho.com ?

YesNo

4. Are you a "Friend" of Gabler Orthodontics on Facebook?


5. Are you referring your friends, family and colleagues to our office?

YesNo

6. Do you feel our quarterly newsletter is a benefit to you and your family?


7. Please specify a team member(s) who has been especially helpful during your recent visits.

8. What improvements or services would you like to see implemented in our office?

9. Testimonial

May we use your testimonial and comments in our marketing materials?

YesNo

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Our team is dedicated to providing extraordinary service with compassion and consideration of each individual’s needs. With personalized care and state of the art technology, our goal is to provide a lifetime gift of a healthy and beautiful smile. Our success is based on our patient’s recommendations.

We appreciate your time and suggestions!