Tell us how we are doing
Questions - Comments - Suggestions

Should you have questions about any aspect of dental disease or treatment,
or have a specific problem or treatment need, contact us at:
Phone: (918) 622-3915 or  FAX  (918) 622-3922    
E-Mail:
info@scottwagnerdds.com   

Address: 9063 East 31 Street, Tulsa, Oklahoma  74145

COPYRIGHT DISCLAIMER: The information provided at this website is advertising material and is for general information
purposes only. The material on this site does not constitute medical advice.  DO NOT copy any items on this site.  Use of any
agency logos, forms or there likeness is strictly prohibited.

© Copyright 2009, Scott W. Wagner, DDS, PC.  All Rights Reserved.
We appreciate you taking the time to complete our survey.
Please feel free to comment on your visit as well.  Any
comments you choose to make are kept strictly confidential
and can only help us become better in the future.


Your Name  


E-mail address  


How would you rate your overall visit?

When your appointment was over did you have a good understanding of
your dental situation?


Were your financial options explained to you?


Did you have to wait over 15 minutes past your appointment time to be
seated? If so how long?


Did the staff greet you properly?


Would you refer your friends and family to us?

Did you find our website easy to work with?

Do you feel our website provide you with useful information about dental
care and treatment?

Will you visit our website again in the future?

Please comment on how we could make your visit better, new services
you would like to see us offer, information you would like us to provide
on our website, or other ways we can make you feel more comfortable.
Let us know how we measure up.
Let us know how we are doing.
Give us suggestions or feedback to help improve your visit.
Scott W. Wagner, DDS
We accept Visa, Mastercard and Discover
American Dental Association