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.

Question Title

* 1. Which office did you visit?

Madison

North Vernon

Seymour

Vevay

Question Title

* 2. Was our office staff pleasant and courteous?

Yes

No

Question Title

* 3. Was the overall appearance of our office pleasant?

Yes

No

Question Title

* 4. Were you seen within a reasonable time after arriving?

Yes

No

Question Title

* 5. Did your doctor completely explain each test and the results of your examination?

Yes

No

Question Title

* 6. Was the time taken for your exam acceptable?

Yes

No

Question Title

* 7. If you purchased eyewear, do you feel you had an adequate choice of frames and price ranges?

Yes

No

Question Title

* 8. Were the opticians and staff knowledgeable and helpful in the selection of your eyewear?

Yes

No

Question Title

* 9. Overall, how satisfied are you with your experience at the Eye Care Group?

Very satisfied

Satisfied

Neither satisfied nor dissatisfied

Dissatisfied

Very dissatisfied

Question Title

* 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