Alec Elchahal Orthodontic Group

  • (770) 622-1177

Post-Appointment Survey

We appreciate you choosing our practice, and we are committed to making sure that your time spent with us is as comfortable and fulfilling as possible. In order to continue providing the kind of care that keeps our patients smiling, we encourage your comments and suggestions about the treatments and personal care you've received while visiting our practice.

Please take a moment to provide us with your feedback. When you're finished, click on the SUBMIT button at the bottom of the page and you will automatically be entered into a monthly drawing to win 100 Points ($10 value) on your Elchahal Smile Rewards Card.  We know your time is valuable and we thank you for your loyalty to our practice.

Please Tell Us About Your Appointment:

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How would you rate your overall experience?


 
Contact Information:

Would you like a member of our team to contact you to further discuss your experience?

Please provide your name and phone number: