Exit this survey PATIENT PORTAL SURVEY Question Title * 1. How did you hear about Douglasville Eye Clinic? Friend/Family Referral Health Insurance Provider Directory Physician Referral Vision Insurance Provider Directory Other (please specify) Question Title * 2. How helpful were the Patient Service representatives at our office? Extremely helpful Very helpful Moderately helpful Slightly helpful Not at all helpful Question Title * 3. How important do the nurses/technicians at our office make you feel? Extremely important Very important Moderately important Slightly important Not at all important Question Title * 4. How would you rate the wait time during your most recent visit? Excellent Very Good Good Fair Poor Question Title * 5. During your most recent visit, did the physician spend enough time with you? Yes, definitely Yes, somewhat No Question Title * 6. During your most recent visit, did the physician order any additional test for you? Yes No Question Title * 7. Did someone from our office follow-up to give you those results? Yes, during the appointment Yes, at a later time No Question Title * 8. Where 0 is the worst physician and 5 is the best physician possible, what number would you use to rate this physician? 5 Best physician possible 4 3 2 1 0 Worst physician possible Question Title * 9. Would you recommend our office to your family and friends? Yes No Question Title * 10. My Ophthalmologist with Douglasville Eye Clinic is: David S Hemmings, MD Stephen D Tedder, MD Additional Comments Done