Patient Satisfaction Survey

The doctors and staff of Sullins Eye Care would like to thank you for helping us with this survey. Our mission is to stay at the forefront of our profession and your input regarding our services and products is greatly appreciated. Please feel free to make any comments about a specific question in the space provided.

On a scale of 1 through 10, 1 means you Strongly Disagree and 10 means you Strongly Agree.

Enter Your Name (optional):

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1. The location of our practice is convenient.

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2. The practice is open at convenient times.

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3. Parking at our office is adequate.

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4. When calling our office, our staff:

- was friendly and courteous.

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- was knowledgeable and informed.

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- offered a convenient appointment time.

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5. The waiting time to see a doctor in the practice was acceptable.

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6. In the exam room, the doctor thoroughly explained each test and the results of the eye health examination, and encouraged your questions and comments.

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7. The time taken during the exam process was acceptable.

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8. If you purchased eyewear in our optical dispensary, you had an adequate selection of frames in all price ranges.

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9. If you purchased eyewear in our optical dispensary, the value met or exceeded the investment you made.

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10. The frame and lens warranty was important in making your decision to purchase eyewear from our optical.

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11. The opticians and staff in the optical dispensary were knowledgeable and helpful with the selection of your eyewear.

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12. Overall you were pleased with the selection and purchase of eyewear from our optical dispensary.

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13. You would refer a family member or friend to us for professional care.

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Other Comments:

Thank you for your time and consideration in completing this patient satisfaction survey. The results will be kept confidential. The answers to these questions will help us better serve your needs in the future. We would be grateful for the opportunity to discuss any concerns you might have – please give a name and phone number if you would like us to contact you:

Again – thank you for your input!

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