Patient Satisfaction
Survey
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Thank
you for choosing our practice for your vision care. Your
satisfaction with the services we provide is important to us. Please
complete the short, anonymous survey below to help us provide the
best service possible. |
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| 1. |
Were you greeted friendly on arrival? |
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Yes |
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No |
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| 2. |
Did we make you feel welcome? |
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Yes |
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No |
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| 3. |
Did you feel comfortable during the eye examination? |
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Yes |
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No |
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| 4. |
Did you understand the eye examination findings? |
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Yes |
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No |
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| 5. |
Did you understand the options available (contact lenses, tints, coatings etc.)? |
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Yes |
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No |
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| 6. |
Would you suggest us to your family and friends? |
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Yes |
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No |
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| 7. |
Did we have a large enough frame inventory for you to choose from? |
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Yes |
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No |
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| 8. |
Are you happy with our service? |
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Yes |
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No |
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| 9. |
Did we explain the costs involved so that you were informed? |
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Yes |
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No |
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| 10. |
Would you return when new spectacles/contact lenses are needed? |
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Yes |
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No |
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| How can we improve? Please enter any comments or
suggestions below: |
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