Stevan Orser DDS, Arlington Adult Dentistry  •  1845 East Rand Road  •  Arlington Heights, IL 60004  •  847.870-8820

Survey Questions Pertaining to Web site

Patient name

E-mail address

I visit Dr. Orser’s Web site (www.stevanorserdds.com) for information:
Never
Seldom
Occasionally
Frequently
Always
Comments:

I like the information posted on Dr. Orser’s Web site:
Definitely Yes
Mostly Yes
Not Sure
Mostly Not
Definitely Not
Comments:

I tell others about the information I read in Dr. Orser’s Web site:
Never
Seldom
Occasionally
Frequently
Always
Comments:

I like the layout (type size, colors, links, tabs) of Dr. Orser’s Web site:
Definitely Yes
Mostly Yes
Not Sure
Mostly Not
Definitely Not
Comments:

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