* 2. When you called for an appointment, how would you rate:

  Poor Fair Average Good Very Good
Your experience with our appointment representative?
The availability of appointment times?

* 3. When you arrived at the office, how would you rate:

  Poor Fair Average Good Very Good
Our patient representative?
The timeliness of the check-in process?

* 4. How satisfied were you with the amount of time spent:

  Poor Fair Average Good Very Good
In the reception area?
Doctor's waiting area?
In the examination room?

* 5. When you were called to the examination room, did you find your nurse/technician to be:

  Poor Fair Average Good Very Good
Friendly and courteous?
Competent and professional?
Sympathetic and caring?

* 6. During your examination, did you find your doctor to be:

  Poor Fair Average Good Very Good
Friendly and courteous?
Competent and professional?
Sympathetic and caring?

* 7. How satisfied were you with:

  Poor Fair Average Good Very Good N/A
Your doctor's diagnosis?
Your doctor's recommendation for surgery/treatment?
The information and detail regarding available surgery/treatment options?

* 8. If you visited our optical department, how would you rate:

  Poor Fair Average Good Very Good N/A
Our opticians?
The frame selection?

* 9. Following your appointment, how would you rate your experience with:

  Poor Fair Average Good Very Good N/A
The check-out representative?
The billing/insurance representative?

* 10. Regarding your overall experience with Johnson City Eye Clinic:

  Poor Fair Average Good Very Good
How would you rate your overall experience?
How likely would you be to recommend our practice to your friends?
Report a problem

T