Performance Survey

Have we been meeting your expectations? We would love your feedback and opinions on how we’re doing and how we can improve.

I have a small confession… There’s another benefit to this survey. Your feedback provides tremendous insight for all our service and marketing efforts. Your feelings, opinions and ideas are valuable to us.
What you say means a lot.

Thanks for sharing!

Your Name *

Were you seen on time for your appointment? *

Please rate our staff’s service level. *

Please rate the dentist’s service level. *

Please rate the dentist’s technical level. *

Please rate your overall satisfaction with our dental practice. *

If you had a magic wand, what would you change about our dental practice?

In 50 words or less, what would you tell someone who was thinking about becoming a new patient of ours?

Information with an * is Required

Contact Us
Michael J. Appleton, DDS
480 Oak Harbor Blvd.
Slidell, LA 70458
Phone: (985) 649-9455
Fax: (985) 649-9467

Free Report