* 1. How did you hear about Douglasville Eye Clinic?

* 2. How helpful were the Patient Service representatives at our office?

* 3. How important do the nurses/technicians at our office make you feel?

* 4. How would you rate the wait time during your most recent visit?

* 5. During your most recent visit, did the physician spend enough time with you?

* 6. During your most recent visit, did the physician order any additional test for you?

* 7. Did someone from our office follow-up to give you those results?

* 8. Where 0 is the worst physician and 5 is the best physician possible, what number would you use to rate this physician?

* 9. Would you recommend our office to your family and friends?

* 10. My Ophthalmologist with Douglasville Eye Clinic is:

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