660 NE Third St. Suite 3 | Bend, Oregon 97701 | 541-389-1884

Bend Dental Group

Comment Form

Location | Comment Form | Refer a Friend

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 following form 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.

Tell Us About Your Visit:

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

    Additional Information:

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

    Additional Information:

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

    Additional Information:

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

    Additional Comments

  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?

Contact Information:

  • May We Contact You?

  • Please Provide Your Contact Details:

Security and Submit:

  • For Security Purposes, Please Enter the Code Below:

Back to top

Home | Our Office | For New Patients | Family Dentistry | Dental Services | FAQs | Contact Us | Privacy Policy | Site Map

Drs. Jeff Johnson and Maureen Porter at Bend Dental Group provide state of the art cosmetic dentistry
and general dentistry for children, teens, and adults in Bend, OR. (Oregon)

Dental Web Site by Sesame Design™