What was the key reason(s) you chose our practice for your eye care needs? (Select All That Apply)

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* 1. What was the key reason(s) you chose our practice for your eye care needs? (Select All That Apply)

When you called for an appointment, how satisfied were you with the response from the person who answered the telephone?

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* 2. When you called for an appointment, how satisfied were you with the response from the person who answered the telephone?

When you arrived at the office, did you find the receptionist to be friendly, courteous, and helpful?

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* 3. When you arrived at the office, did you find the receptionist to be friendly, courteous, and helpful?

Did any specific staff member help to make your visit more enjoyable?

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* 4. Did any specific staff member help to make your visit more enjoyable?

How acceptable was the amount of time spent in the reception area and examining, before seeing the doctor?

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* 5. How acceptable was the amount of time spent in the reception area and examining, before seeing the doctor?

During our examination, did you find the doctor to be friendly, courteous, competent, professional, and sympathetic/caring?

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* 6. During our examination, did you find the doctor to be friendly, courteous, competent, professional, and sympathetic/caring?

Did you purchase glasses in our office?

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* 7. Did you purchase glasses in our office?

Please rate the courtesy and helpfulness of the employee who helped you with your eyeglasses:

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* 8. Please rate the courtesy and helpfulness of the employee who helped you with your eyeglasses:

Overall, how satisfied or dissatisfied are you with Manzo Eye Care?

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* 9. Overall, how satisfied or dissatisfied are you with Manzo Eye Care?

How likely is it that you would recommend Manzo Eye Care to a friend or colleague?

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* 10. How likely is it that you would recommend Manzo Eye Care to a friend or colleague?

NOT AT ALL LIKELY
EXTREMELY LIKELY

T