Patient Survey Please take a moment to fill out our Patient Survey below. Thank you! What was the key reason(s) you chose our practice for your eye care needs? Not Applicable - I am an Existing Patient Physician Referral Insurance Coverage Friend/Family Referral Practice Website Facility/Office Location Other If you chose other, Please Describe:When you arrived at the office, did you find the receptionist to be friendly and courteous? Yes No Comments:When you were called to the examining room, did you find our Ophthalmic Technicians to be friendly and professional? Yes No Comments:When you saw the doctor, were you satisfied that he/she spent an appropriate amount of time with you, answered your questions, and explained medical procedures and treatments to your satisfaction? Yes No Comments:If surgery was recommended, how satisfied were you with the information provided by the doctor/nurse regarding the need for surgery and the detail provided about the recommended procedure(s)? Very Good Good Fair Poor N/A Comments:If you had surgery, how satisfied were you with the post-operative follow-up care? Very Good Good Fair Poor N/A Comments:Please rate your overall experience with our practice: Very Good Good Fair Poor Comments:Would you recommend our practice to your friends? Yes No Maybe Comments: