Post-Appointment Survey

We appreciate you choosing our practice, and we are committed to making sure that your time spent with us is as comfortable and fulfilling as possible. In order to continue providing the kind of care that keeps our patients smiling, we encourage your comments and suggestions about the treatments and personal care you’ve received while visiting our practice.

Please take a moment to provide us with your feedback. When you’re finished, click on the SUBMIT button at the bottom of the page.

Please tell us about your appointment:

Bold fields are required.

Please describe your experience visiting our practice.

Please describe your experience working with the doctor(s) and staff.

What was your favorite thing about being at our practice?

What areas could we improve upon to make your experience even more enjoyable?

How would you rate your overall experience?

PoorAverageGoodGreat!

Please provide any additional comments/suggestions.

 
Contact Information:
Would you like a member of our team to contact you to further discuss your experience?

Please provide your name and email address:
Your Name


Your Email Address

 
  • Every staff member from the receptionists to assistants to Dr. Blue were so incredibly friendly I thought I was at Disneyland at 7:30 in the morning! I was well taken care of. The interior design is very posh and unexpected for an orthodontist office! It was a great experience…would highly recommend!

    - Kelly

  • Dr. Blue and his staff make you feel like family. We have never had a day in that office where the staff was not happy, friendly and eager to help. They explain treatments, procedures and answer questions to the fullest each time we are there. We love them.

    - B.V.

  • I would definitely recommend Blue Orthodontics. Both my daughter and I are in braces. The staff is so friendly and accomodating, they coordinate our appointments together which makes life much easier. Dr. Blue himself is awesome..he always explains what they are doing and what the next steps in my treatment are going to be.

    - T.L

invisalign | the clear alternative to braces
harmony | design your smile
insignia | custom designed orthodontics
damon system | more than just straight teeth
american association or orthodontics member
american dental association