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Take a Moment to Complete Our Patient Survey and Hygiene Survey


Patient Survey


After you've completed your visit to Northland Village Dental Centre in Calgary, we hope you'll take a moment to complete this survey and let us know how your experience was. We count on patient feedback to ensure your experience is a great one. If you have any questions, please contact us directly.

What did you think of our services during your visit?*

Did you feel the doctor or hygienist fully understood your needs? What grade would you give to them? *

Will you be referring your family members or friends to our office? *

Do you have any suggestions towards our services that can help us improve in the future?

We Need Your Feedback for Our Hygiene Survey

At Northland Village Dental Centre in Calgary, we are constantly seeking to improve our ability to treat patients. To that end, we hope you will take a moment to complete the hygiene survey on this page. With the information you provide, we can better serve patients in the future. If you have questions, please contact us now.

Survey for Teeth Cleaning

How long has it been since your last cleaning?

For your future cleaning appointment, who would you prefer to clean your teeth?

Which kind of cleaning do you prefer?

What type of scaling do you prefer?

Depending on the gum condition, most patients will need 2-3 units of scaling for cleaning. Do you think the number of units cleaned will be a concern for you?

Have you had any of these occur after you had your teeth cleaned?

Have you had any of these occur after you have had your gums and teeth cleaned?

Suggestion and Comment:

Personal Comment:

Request an Appointment

Request an Appointment

Dental issues can get worse over time if neglected.

Contact Us

Contact Us

If you have any queries, please don’t hesitate to reach out to us.

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