What was the purpose of your visit to our
office?
How long did you have to wait before a technician called you
back?
Please tell us how satisfied or dissatisfied you were with
each of the following:
Your experience scheduling your appointment?
Very Satisfied
Somewhat Satisfied
Undecided
Somewhat Dissatisfied
Very Dissatisfied
The way you were treated by the staff at our office?
Very Satisfied
Somewhat Satisfied
Undecided
Somewhat Dissatisfied
Very Dissatisfied
The way you were treated by the Doctor?
Very Satisfied
Somewhat Satisfied
Undecided
Somewhat Dissatisfied
Very Dissatisfied
The way your questions were answered?
Very Satisfied
Somewhat Satisfied
Undecided
Somewhat Dissatisfied
Very Dissatisfied
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If the Doctors gave you a diagnosis do you feel you
had enough information to make an educated decision
in regards to your treatment?
If you had a chance to look at our Web site, did you find it educational and easy to use? (www.southtulsaeye.com)
What, if anything, did you like most about your visit to our
office?
Please tell us what, if anything, we can do to make future visits
to our office more pleasant for you.
Thank you for taking time out of your
day to help us.
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