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   Comment Form


We enjoy having you as a patient and we are committed to making our relationship together as fulfilling as possible. In order to continue to serve happy patients, we would appreciate your suggestions and comments about our services.

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?

YesNo

Comment question 1

2. Did you feel that our doctor(s) and team explained fully your treatment options, instructions, and questions?

YesNo

Comment question 2

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

YesNo

Comment question 3

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

YesNo

Comment question 4

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?

YesNo

Comment question 5

Email Address (optional):

After hours Emergency: 517-294-0954
( Dr. Kellogg's Cell phone )

 
 
1250 Byron Road Howell, Michigan 48843    |    517. 546.3330
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