Manaloor Eye Care values your opinion so we would like to invite you to participate in this short survey to ensure that you had a pleasant experience. Your survey responses will be anonymous and we would appreciate your honest feedback. Thank you for choosing Manaloor Eye Care and entrusting us with your eyecare needs.

Sincerely,

Dr. Tigi Manaloor

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* 1. Was this your first time at Manaloor Eye Care?  If so, how did you hear about us?

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* 3. Date of Exam

Initial Exam Date

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* 4. Evaluate the following statements.

  Strongly Disagree Disagree Neither Disagree Nor Agree Agree Strongly Agree N/A
Scheduling your appointment was fast and easy.
You were greeted warmly when you first arrived.
The waiting area was clean and comfortable.
The paperwork was straight-forward and easy to fill out.
The importance of the recommended pre-tests was explained to you.
The doctor listened to you and spent enough time with you.
You are able to see clearly at the conclusion of your exam.
Checking out was easy.

T