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15    <title>Post-Appointment Survey - Children's Dental Ark | New Braunfels TX</title>
16    <meta name="description" content="Providing quality pediatric dental care to children and teens in New Braunfels, TX. Call today to schedule your appointment at Children's Dental Ark with Dr. Cheryl Sellers!">
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61<body class="post-appointment-survey sidebar-left footer-normal nav-top layout-standard layout-section-contact-us font-2">
62
63<!-- Header -->
64<header id="hd">
65    <!-- Logo -->
66        
67    <a href="/" class="logo"><img src="/assets/images/logo.png" class="shift" alt="Children's Dental Ark Logo and Home Page" /><span class="logo-tagline"></span></a>
68
69    <div class="social-icons">
70        <a href="https://www.facebook.com/Dentalarknb/" aria-label="Find us on facebook">
71            <i class="fab fa-facebook-f linkHoverFade" aria-hidden="true"></i>
72            </a>    </div>
73
74    <!-- Main Navigation -->
75    <nav id="main-nav" class="horizontal clearfix font-3">
76        <div class="collapsible">
77            <a href="javascript:void(0)" class="trigger">Tap for Menu <i class="fa fa-bars"></i></a>
78            <ul><li class="home first"><a href="/home" id="home" class="home"><span>Home</span></a></li><li class="about-us"><a href="/meet-our-doctors" id="about-us" class="about-us"><span>About</span> <span>Us</span></a><ul><li class="meet-our-doctors first"><a href="/meet-our-doctors" class="meet-our-doctors"><span>Meet</span> <span>Our</span> <span>Doctors</span></a></li><li class="meet-our-team"><a href="/meet-our-team" class="meet-our-team"><span>Meet</span> <span>Our</span> <span>Team</span></a></li><li class="office-tour last"><a href="/office-tour" class="office-tour"><span>Office</span> <span>Tour</span></a></li></ul></li><li class="new-patients"><a href="/office-visits" id="new-patients" class="new-patients"><span>New</span> <span>Patients</span></a><ul><li class="office-visits first"><a href="/office-visits" class="office-visits"><span>Office</span> <span>Visits</span></a></li><li class="testimonials"><a href="/testimonials" class="testimonials"><span>Testimonials</span></a></li><li class="financial-information"><a href="/financial-information" class="financial-information"><span>Financial</span> <span>Information</span></a></li><li class="patient-forms"><a href="/patient-forms" class="patient-forms"><span>Patient</span> <span>Forms</span></a></li><li class="pediatric-dental-faqs last"><a href="/pediatric-dental-faqs" class="pediatric-dental-faqs"><span>Pediatric</span> <span>Dental</span> <span>FAQs</span></a></li></ul></li><li class="pediatric-dentistry"><a href="/pediatric-dentistry" id="pediatric-dentistry" class="pediatric-dentistry"><span>Pediatric</span> <span>Dentistry</span></a><ul><li class="pediatric-dentistry first"><a href="/pediatric-dentistry" class="pediatric-dentistry"><span>Pediatric</span> <span>Dentistry</span></a></li><li class="why-choose-a-pediatric-dentist"><a href="/why-choose-a-pediatric-dentist" class="why-choose-a-pediatric-dentist"><span>Why</span> <span>Choose</span> <span>a</span> <span>Pediatric</span> <span>Dentist</span></a></li><li class="dental-care-for-your-baby"><a href="/dental-care-for-your-baby" class="dental-care-for-your-baby"><span>Dental</span> <span>Care</span> <span>For</span> <span>Your</span> <span>Baby</span></a></li><li class="the-importance-of-baby-teeth"><a href="/the-importance-of-baby-teeth" class="the-importance-of-baby-teeth"><span>The</span> <span>Importance</span> <span>of</span> <span>Baby</span> <span>Teeth</span></a></li><li class="gum-disease-in-children"><a href="/gum-disease-in-children" class="gum-disease-in-children"><span>Gum</span> <span>Disease</span> <span>in</span> <span>Children</span></a></li><li class="pediatric-dental-emergencies"><a href="/pediatric-dental-emergencies" class="pediatric-dental-emergencies"><span>Pediatric</span> <span>Dental</span> <span>Emergencies</span></a></li><li class="nutrition-and-oral-health"><a href="/nutrition-and-oral-health" class="nutrition-and-oral-health"><span>Nutrition</span> <span>and</span> <span>Oral</span> <span>Health</span></a></li><li class="baby-bottle-tooth-decay"><a href="/baby-bottle-tooth-decay" class="baby-bottle-tooth-decay"><span>Baby</span> <span>Bottle</span> <span>Tooth</span> <span>Decay</span></a></li><li class="special-needs-dentistry last"><a href="/special-needs-dentistry" class="special-needs-dentistry"><span>Special</span> <span>Needs</span> <span>Dentistry</span></a></li></ul></li><li class="preventive"><a href="/regular-exams-and-cleanings" id="preventive" class="preventive"><span>Preventive</span></a><ul><li class="regular-exams-and-cleanings first"><a href="/regular-exams-and-cleanings" class="regular-exams-and-cleanings"><span>
78Regular</span> <span>Exams</span> <span>and</span> <span>Cleanings</span></a></li><li class="healthy-smiles"><a href="/healthy-smiles" class="healthy-smiles"><span>Healthy</span> <span>Smiles</span></a></li><li class="dental-x-rays"><a href="/dental-x-rays" class="dental-x-rays"><span>Dental</span> <span>X-rays</span></a></li><li class="fluoride"><a href="/fluoride" class="fluoride"><span>Fluoride</span></a></li><li class="sealants"><a href="/sealants" class="sealants"><span>Sealants</span></a></li><li class="thumb-sucking"><a href="/thumb-sucking" class="thumb-sucking"><span>Thumb</span> <span>Sucking</span></a></li><li class="teeth-grinding"><a href="/teeth-grinding" class="teeth-grinding"><span>Teeth</span> <span>Grinding</span></a></li><li class="sports-dentistry last"><a href="/sports-dentistry" class="sports-dentistry"><span>Sports</span> <span>Dentistry</span></a></li></ul></li><li class="restorative-care"><a href="/fillings" id="restorative-care" class="restorative-care"><span>Restorative</span> <span>Care</span></a><ul><li class="fillings first"><a href="/fillings" class="fillings"><span>Fillings</span></a></li><li class="crowns"><a href="/crowns" class="crowns"><span>Crowns</span></a></li><li class="dental-abscess"><a href="/dental-abscess" class="dental-abscess"><span>Dental</span> <span>Abscess</span></a></li><li class="extractions"><a href="/extractions" class="extractions"><span>Extractions</span></a></li><li class="space-maintenance"><a href="/space-maintenance" class="space-maintenance"><span>Space</span> <span>Maintenance</span></a></li><li class="sedation-dentistry"><a href="/sedation-dentistry" class="sedation-dentistry"><span>Sedation</span> <span>Dentistry</span></a></li><li class="pediatric-hospital-dentistry"><a href="/pediatric-hospital-dentistry" class="pediatric-hospital-dentistry"><span>Pediatric</span> <span>Hospital</span> <span>Dentistry</span></a></li><li class="palatal-expander"><a href="/palatal-expander" class="palatal-expander"><span>Palatal</span> <span>Expander</span></a></li><li class="pulpotomy-pulpectomy"><a href="/pulpotomy-pulpectomy" class="pulpotomy-pulpectomy"><span>Pulpotomy/Pulpectomy</span></a></li><li class="home-care-instructions last"><a href="/home-care-instructions" class="home-care-instructions"><span>Home</span> <span>Care</span> <span>Instructions</span></a></li></ul></li><li class="contact-us active last"><a href="/new-braunfels-office-location" id="contact-us" class="contact-us"><span>Contact</span> <span>Us</span></a><ul><li class="new-braunfels-office-location first"><a href="/new-braunfels-office-location" class="new-braunfels-office-location"><span>New</span> <span>Braunfels</span> <span>Office</span> <span>Location</span></a></li><li class="appointment-request"><a href="/appointment-request" class="appointment-request"><span>Appointment</span> <span>Request</span></a></li><li class="post-appointment-survey active last"><a href="/post-appointment-survey" class="post-appointment-survey"><span>Post-Appointment</span> <span>Survey</span></a></li></ul></li></ul>        </div>
79    </nav>
80
81    <div class="location-row">
82         <div class="hd-location"><a href="/new-braunfels-office-location" class="hd-address">New Braunfels:</a> <a href="tel:8306251234" class="phone">(830) 625-1234</a> </div>        <div class="hd-buttons">
83                        <ul><li class="book-now"><a href="/appointment-request">
84
85                <i class="fa fa-calendar"></i>&nbsp;<span class="font-3">Book Now</span></a></li></ul>        </div>
86    </div>
87</header>
88
89
90    <div class="interior-top">
91
92        <!-- Sub Nav -->
93                    <div id="subnav-outer" class="font-3">
94                <div class="container row">
95                    <p><a href="/new-braunfels-office-location" class="new-braunfels-office-location">New Braunfels Office Location</a> &#124; <a href="/appointment-request" class="appointment-request">Appointment Request</a> &#124; <a href="/post-appointment-survey" class="post-appointment-survey active">Post-Appointment Survey</a></p>                </div>
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100
101<article id="content">
102
103    <!-- Homepage Content -->
104    
105        <div class="container row interior-content">
106
107            <!-- Site Manager -->
108            
109            <!-- Page Title -->
110            <header>
111                <h1>Post-Appointment Survey</h1>
112            </header>
113
114            <!-- Sidebar -->
115            <div id="sidebar">
116                <div id="hide-stock">
117                    <img src="/assets/uploads/images/post-appointment-survey.jpg" alt="post appointment survey" />                    <!-- call stock photos from php code above -->
118                </div>
119
120                <!-- Blog -->
121                
122                            </div>
123
124            <!-- Page Content -->
125            <div id="main-content">
126                <p class="width2">
127	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&#39;ve received while visiting our practice.</p>
128<p class="width2">
129	Please take a moment to provide us with your feedback. When you&#39;re finished, click on the <strong>SUBMIT</strong> button at the bottom of the page.</p>
130<form action="/post-appointment-survey" class="width2 validate" method="post">
131	<label for="Web_Address"><input id="Web_Address" name="sc_form[Web_Address]" type="hidden" /> </label> <input id="required_values" name="required_values" type="hidden" value="Contact_Patient" />
132	<fieldset>
133		<legend>Please tell us about your appointment:</legend>
134		<p class="notice width1 box-round">
135			<strong>Bold</strong> fields are required.</p>
136		<label class="first width2" for="My_Experience"><span>Please describe your experience visiting our practice.</span><textarea cols="30" id="My_Experience" name="sc_form[My_Experience]" rows="10" tabindex="1"></textarea></label> <label class="first width2" for="Experience_with_Team"> <span>Please describe your experience working with the doctor(s) and staff.</span><textarea cols="30" id="Experience_with_Team" name="sc_form[Experience_with_Team]" rows="10" tabindex="2"></textarea></label> <label class="first width2" for="Favorite_Thing_About_Practice"> <span>What was your favorite thing about being at our practice?</span><textarea cols="30" id="Favorite_Thing_About_Practice" name="sc_form[Favorite_Thing_About_Practice]" rows="10" tabindex="3"></textarea></label> <label class="first width2" for="How_Can_We_Improve"> <span>What areas could we improve upon to make your experience even more enjoyable?</span><textarea cols="30" id="How_Can_We_Improve" name="sc_form[How_Can_We_Improve]" rows="10" tabindex="4"></textarea></label>
137		<fieldset class="radio-group full">
138			<p>
139				<span>How would you rate your overall experience?</span></p>
140			<div class="full" id="rating">
141				<label class="first unitx1" for="Rating_Poor"><input id="Rating_Poor" name="sc_form[Rating]" tabindex="8" type="radio" value="Poor" /> <span>Poor</span></label> <label class="unitx1" for="Rating_Average"> <input id="Rating_Average" name="sc_form[Rating]" tabindex="7" type="radio" value="Average" /> <span>Average</span></label> <label class="unitx1" for="Rating_Good"> <input id="Rating_Good" name="sc_form[Rating]" tabindex="6" type="radio" value="Good" /> <span>Good</span></label> <label class="unitx1" for="Rating_Great"> <input id="Rating_Great" name="sc_form[Rating]" tabindex="5" type="radio" value="Great!" /> <span>Great!</span></label></div>
142		</fieldset>
143		<label class="first width2" for="Additional_Comments"><span>Please provide any additional comments/suggestions.</span><textarea cols="30" id="Additional_Comments" name="sc_form[Additional_Comments]" rows="10" tabindex="9"></textarea></label>
144		<hr />
145		<div class="hr">
146			&nbsp;</div>
147	</fieldset>
148
149
150	<fieldset>
151		<legend>Contact Information:</legend>
152		<p class="required loud first width2">
153			<span>Would you like a member of our team to contact you to further discuss your experience?</span></p>
154		<select class="width1" id="Contact_Patient" name="sc_form[Contact_Patient]" required="required"><option value="">Select an option</option><option value="Yes">Yes</option><option value="No">No thank you; see you at my next appointment.</option></select>
155	
156  
157  	<fieldset class="full hidden-option" id="survey_participant">
158			
159      
160       <legend>Please provide your name and email address:</legend>
161      
162       <label class="required first width1" for="Survey_Participant_Name"> <span>Your Name</span> 
163       
164       <input id="Survey_Participant_Name" minlength="2" name="sc_form[Survey_Participant_Name]" type="text" /> 
165       <!--disabled="disabled" -->
166       
167       <span class="quiet">First and Last</span></label> 
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169       <label class="required width1" for="Survey_Participant_Email"> <span>Your Email Address</span><br />
170			
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172       <!--disabled="disabled" -->
173       
174		<hr />
175		<div class="hr">&nbsp;</div>
176    
177	</fieldset>
178	
179  
180  <fieldset>
181		<button class="button button-medium site-button-color box-round box-shadow">Submit Feedback</button></fieldset>
182</form>
183                            </div>
184
185        </div>
186    
187</article>
188
189<!-- Footer -->
190
191<div id="services-row">
192    <div class="container row">
193        <h2>Services</h2>
194        <ul class="span4" ><li>
195
196					<a href="/preventive-care" class="services-img" style="background-image: url(/assets/images/services/services-01.jpg);">
197						<span class="services-text font-2">Preventive <span>Care</span></span>
198					</a>
199
200                </li><li>
201
202					<a href="/fillings" class="services-img" style="background-image: url(/assets/images/services/services-02.jpg);">
203						<span class="services-text font-2">Restorative <span>Care</span></span>
204					</a>
205
206                </li><li>
207
208					<a href="/community-involvement" class="services-img" style="background-image: url(/assets/images/services/services-03.jpg);">
209						<span class="services-text font-2">Community <span>Involvement</span></span>
210					</a>
211
212                </li></ul>    </div>
213</div>
214
215<footer id="ft">
216    <div class="container row">
217        <h2>Our Location</h2>
218
219        <div class="ft-location-wrapper">
220            <div class="ft-location"><a href="/new-braunfels-office-location" class="ft-map"><img src="/assets/images/maps/map-1.jpg" alt="New Braunfels Office " /><span class="ft-header font-3">New Braunfels Office </span></a><a href="/new-braunfels-office-location" class="ft-address">610 Landa St<br/>New Braunfels,&nbsp;TX&nbsp;78130</a><a href="tel:8306251234" class="ft-phone">(830) 625-1234</a></div>        </div>
221
222    </div>
223</footer>
224
225<div id="ft-contact">
226    <div class="container row">
227        <div class="contact-header">
228            <i class="fa fa-envelope"></i>
229            <h2>Send Us A Message</h2>
230        </div>
231        <!-- contact form widget -->
232        <div id="ajax-mailer">
233<form id="ajax-mailer-form" action="/contact-us-form/submit" class="validate" method="post">
234<input id="required_values" name="required_values" type="hidden" value="Full_Name, Reply_To" />
235<input id="ajax-mailer-name" data-minlength="5" name="sc_form[Full_Name]" placeholder="*Name" required="required" type="text" aria-label="Full Name" />
236<input id="ajax-mailer-email" name="sc_form[Reply_To]" placeholder="*Email" type="email" aria-label="Email" required/>
237<textarea id="ajax-mailer-message" name="sc_form[Message]" placeholder="Message" aria-label="Message">
238</textarea>
239<input type="submit" id="submit-ajax-mailer" value="Submit" />
240</form>
241</div>    </div>
242</div>
243
244<!-- Testimonial Rotator -->
245
246<div class="ft-logos">
247    <a href = "/meet-our-doctors" ><img class="shift" src= "/assets/images/ft-logos/tda.png" alt = "tda" /></a ><a href = "/meet-our-doctors" ><img class="shift" src=//srwd.sesamehub.com/assets/images/ft-logos/american-academy-of-pediatric-dentistry.png alt = "American Academy Of Pediatric Dentistry" /></a><a href = "/meet-our-doctors" ><img class="shift" src=//srwd.sesamehub.com/assets/images/ft-logos/american-board-of-pediatric-dentistry.png alt = "American Board Of Pediatric Dentistry" /></a><a href = "/meet-our-doctors" ><img class="shift" src=//srwd.sesamehub.com/assets/images/ft-logos/american-dental-association.png alt = "American Dental Association" /></a></div>
248
249<!-- Design Credit -->
250<div class="ft-design-credit aligncenter">
251    <div class="container row">
252        <p class="text-nav"><a href="/home" class="home">Home</a><a href="/meet-our-doctors" class="about-us">About Us</a><a href="/office-visits" class="new-patients">New Patients</a><a href="/pediatric-dentistry" class="pediatric-dentistry">
252Pediatric Dentistry</a><a href="/regular-exams-and-cleanings" class="preventive">Preventive</a><a href="/fillings" class="restorative-care">Restorative Care</a><a href="/new-braunfels-office-location" class="contact-us active">Contact Us</a><a href="/sitemap">Site Map</a></p>        <div class="design-credit-right">
253            <a class="sesame-link" href="http://www.sesamecommunications.com/web-design">
254                <i class="fa icon-sesame-arrow"></i> Website Powered by Sesame 24-7&trade;
255            </a><!--  | <a href="/sitemap">Site Map</a> -->
256            <a class="back-to-top" href="#hd" aria-label="back to top"><i class="fa icon-top"
257                                                                          aria-hidden="true"></i></a>
258        </div>
259    </div>
260</div>
261
262<div class="mdl-button--fab_flinger-container" id="fab_ctn">
263    <a class="mdl-button mdl-js-button mdl-button--fab mdl-js-ripple-effect mdl-button--colored" id="fab_btn"><span class="button-text">Contact Us!</span></a>
264    <div class="mdl-button--fab_flinger-options">
265        <div class="vsnotnumber">
266            <a class="mdl-button mdl-button-text mdl-js-button mdl-button--fab mdl-js-ripple-effect child" href="sms:830-625-1234">
267                <i class="material-icons">textsms</i>
268            </a>
269        </div>
270        <a class="mdl-button mdl-button-call mdl-js-button mdl-button--fab mdl-js-ripple-effect child" href="tel:830-625-1234">
271            <i class="material-icons">call</i>
272        </a>
273        <a class="mdl-button mdl-button-email mdl-js-button mdl-button--fab mdl-js-ripple-effect child" href="mailto:[email protected]">
274            <i class="material-icons">email</i>
275        </a>
276    </div>
277</div>
278
279<!-- First Call etc-->
280
281<!-- Additional scripts (Mobile Helpers, Console Detector, etc) -->
282<script src="//srwd.sesamehub.com/assets/v5.0/helpers.min.js"></script>
vendor: 2 bytes, line 282
282
283<script src="//srwd.sesamehub.com/assets/v5.0/global.min.js"></script>
vendor: 2 bytes, line 283
283
284<script src="/assets/js/local.js"></script>
284
285<!-- Testimonial Rotator -->
286<script src="/assets/plugins/testimonial-rotator/js/testimonial-rotator.js"></script>
286
287
288</body>
289
290</html>

Line numbers count LF bytes from the start of the resource, as the search results do. Vendor segments are library code the classifier recognised; they are stored but not indexed. Bytes are shown as Latin1 characters, one per byte.