By submitting this form, you are agreeing to allow us to publish your survey on our website and social media channels.

Was This Your First Visit?
Will You Return For Additional Care If Needed?
Would You Recommend Us To A Friend?
Did the Dental Team Show Care and Compassion?
Did We Offer a Comfortable, Clean Reception Area?
Did Our Office Staff Schedule an Appointment for You In a Reasonable Amount of Time?
Did Dr. Ngoh Listen Carefully To Your Concerns?
By clicking "Yes" you acknowledge you have read and agree to our . This grants us permission to publish your survey on our website and social media channels and send you a one time SMS text message. *Required