Testimonials Feedback

Thank you for your time to take this brief survey about your experience at Dallas Renal Group office today. We value your feedback and please feel free to call us if you have any questions and comments about this survey.

Which doctor did you see today?


Office Location:


Were you satisfied with the level of service that you received during your visit today?

 Yes        NO

Is there anything that we should do differently to improve your experience, when visiting your doctor?


Was the staff polite and helpful to you? If not, can you tell us what happened?


Would you like to write any comments regarding the care you received today that we can publish on our website (www.dallasrenalgroup.com)?


Would you like the comments on the website to be anonymous, or would you like us to include your initials after your comment?

  Anonymous     Initials: 

E-mail address

 Accept Terms And Condition

Disclaimer: Dallas Renal Group reserves the right to publish this on their webpage or not.