Dental Practice Online Reputation Monitoring Log Form
Use this form to log and track all online mentions and reviews related to the dental practice for effective reputation monitoring.
Platform or Source Name
*
Review or Post Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Reviewer or Account Name
*
Review Type
*
Please Select
Review
Comment
Mention
Direct Message
Other
Rating
1
2
3
4
5
Review or Post URL
Summary of Feedback
*
Sentiment
*
Please Select
Positive
Neutral
Negative
Action Needed
*
Please Select
No Action
Respond Publicly
Contact Reviewer
Escalate to Management
Other
Assigned Staff Member
Submit Log Entry
Should be Empty: