Midwest Cornea Associates Patient Satisfaction Survey We would like to ask you about your experience with our office. Thank you for helping us continue to improve the care we provide for our patients. OK Question Title * 1. Overall, how easy do you find it to schedule appointments? Extremely easy Very easy Somewhat easy Not so easy Not at all easy OK Question Title * 2. Did your appointment start early, late or on time? More than 15 minutes early Less than 15 minutes early On time Less than 15 minutes late More than 15 minutes late OK Question Title * 3. Overall, how would you rate the service you received at the reception area of our office? Excellent Very good Good Fair Poor OK Question Title * 4. During your most recent visit, did the medical assistants and technicians at your healthcare provider’s exam areas treat you with courtesy and respect? Yes, definitely Yes, somewhat No OK Question Title * 5. How would you rate the accuracy and timeliness our billing department? 1 Star 2 Stars 3 Stars 4 Stars 5 Stars 1 Star 2 Stars 3 Stars 4 Stars 5 Stars OK Question Title * 6. How satisfied are you with the cleanliness and appearance of our facility? Extremely satisfied Very satisfied Somewhat satisfied Not so satisfied Not satisfied at all OK Question Title * 7. Who was your provider? Stephen Johnson M.D. Jennifer Nottage M.D. OK Question Title * 8. How well did your provider explain your diagnosis and treatment? Extremely well Very well Somewhat well Not so well Not at all well OK Question Title * 9. How well did you respond to your provider's treatment? Extremely well Very well Somewhat well Not so well Not at all well No treatment was required OK Question Title * 10. How likely is it that you would recommend our office to a friend or family member? Not likely Somewhat unlikely Not sure Somewhat likely Very likely Not likely Somewhat unlikely Not sure Somewhat likely Very likely How can we improve?You can leave a message here or at 317 817 1765. OK DONE