The Eye Care Group
Patient Survey
Thank you for taking 5 minutes to complete our patient survey so we can provide even better service on your next visit.
1.
Which office did you visit?
Madison
North Vernon
Seymour
Vevay
2.
Was our office staff pleasant and courteous?
Yes
No
3.
Was the overall appearance of our office pleasant?
Yes
No
4.
Were you seen within a reasonable time after arriving?
Yes
No
5.
Did your doctor completely explain each test and the results of your examination?
Yes
No
6.
Was the time taken for your exam acceptable?
Yes
No
7.
If you purchased eyewear, do you feel you had an adequate choice of frames and price ranges?
Yes
No
8.
Were the opticians and staff knowledgeable and helpful in the selection of your eyewear?
Yes
No
9.
Overall, how satisfied are you with your experience at the Eye Care Group?
Very satisfied
Satisfied
Neither satisfied nor dissatisfied
Dissatisfied
Very dissatisfied
10.
How likely are you to refer a friend or family member to the Eye Care Group?
Very likely
Likely
Neither likely nor unlikely
Unlikely
Very unlikely