Feedback Page

Home
About Us
PRICES AND SERVICES
Questions or Contact Us
Schedule an Appointment
Places to stay
Before & After Pictures
Getting Ready
Testimonials
Patient Form
RSVP

Home
About Us
PRICES AND SERVICES
Questions or Contact Us
Schedule an Appointment
Places to stay
Before & After Pictures
Getting Ready
Testimonials
Patient Form
RSVP

menu close

Home
About Us
PRICES AND SERVICES
Questions or Contact Us
Schedule an Appointment
Places to stay
Before & After Pictures
Getting Ready
Testimonials
Patient Form
RSVP

We Welcome Your Comments !

We really appreciate your feedback regarding your experience. You can also email me at Andrea@AmazingDentalMx.com or call me at 480-332-0774.

Sincerely,
Andrea Chisolm

* Indicates required field

Was our facility clean? *

Yes No

Was our staff pleasant? *

Yes No

Did you feel comfortable with your dental exam and the information you were given regarding your dental health? *

0 = No 3 = Satisfied 5 = Amazing Exam

Would you recommend Amazing Dental Care to your family and friends? *

0 = No 3 = Maybe 5 = Absolutely. Amazing Dental Care was AMAZING!

Did you feel safe in Los Algodones? *

Yes No

How did you hear about Amazing Dental Care? Please be specific (name of publication or community event; name of referral or sales person). *

If you live in a 55+ community, please let us know the name of your community. *

If you used our transportation service, how was your experience? *

How easy was it to schedule your appointment? *

Easy A little frustrating Needs improvement (please provide phone or email so we can contact you)

First Name *

Email *

N/A if not applicable

Comments *

Phone Number: *

N/A if not applicable

May We Use This Testimonial ? *

Yes No

Submit

Click image to view our Facebook Page

Los Algogones Address:
Ave International Y Calle 3ra Local#2 CP Poblado Los Algodones Baja California Mexico 21970

USA mailing address:
1107 S 5th Ave #217 Yuma AZ 85364

Dr. Leobardo Ramirez-Gallegos (Dr. Leb) License #2964294

Andrea Chisolm Owner/General Manager 480-332-0774

Privacy PolicyOur Privacy PolicyPrivacy Policy