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.

Please tell us about your appointment:

Bold fields are required.

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 email address:

 

Why Choose Us

At Weiss & Tor Orthodontics, everything revolves around you. Your comfort, needs, and smile dreams are the top priority of Dr. Ira Weiss, Dr. Shira Tor, and our team. When you're here, you're a member of our smile family. We believe we're here to serve and support you on your orthodontic journey, and are honored to be your partner along the way.

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