Please fill out the form below and click the "Submit" button to send us your comments. Because your comments are sent over the Internet, please do not include sensitive or personal information on this form.

1. Were you pleased with our scheduling system and the general flow of your appointment?

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2. Did you feel like Dr. Kohrs and his team fully explained your treatment options, instructions, and questions?

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3. Did you feel like our team was ready and eager to assist you?

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4. Are there any areas in which our service could be improved?

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5. Our practice values happy, satisfied patients and our success is based on our patients’ recommendations. Would you refer your friends and family to us for their orthodontic needs?

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