The challenges to examining client satisfaction are demonstrated through an evaluation of dental services provided by a regional service provider to people living with HIV/AIDS. The process of developing and administering a measure of client satisfaction is discussed. Forty-one of 350 (11.7%) dental clients chose to participate. Quantitative and qualitative data suggests that overall participants are satisfied with services. Identified concerns included a lack of specialized dental, medical, mental health, and case management services. Implications of the study for service delivery, future evaluations, and rural social work practice are addressed
