How Was Your Experience at Sun Eye Care? Question Title * 1. Please tell us about your visit at our office Poor Fair Average Good Excellent Check-in/Check out Check-in/Check out Poor Check-in/Check out Fair Check-in/Check out Average Check-in/Check out Good Check-in/Check out Excellent Insurance/Billing Insurance/Billing Poor Insurance/Billing Fair Insurance/Billing Average Insurance/Billing Good Insurance/Billing Excellent Cleanliness Cleanliness Poor Cleanliness Fair Cleanliness Average Cleanliness Good Cleanliness Excellent Wait Time Wait Time Poor Wait Time Fair Wait Time Average Wait Time Good Wait Time Excellent Technician quality Technician quality Poor Technician quality Fair Technician quality Average Technician quality Good Technician quality Excellent Doctor Listened/ Cared Doctor Listened/ Cared Poor Doctor Listened/ Cared Fair Doctor Listened/ Cared Average Doctor Listened/ Cared Good Doctor Listened/ Cared Excellent Problem Addressed Problem Addressed Poor Problem Addressed Fair Problem Addressed Average Problem Addressed Good Problem Addressed Excellent Satisfaction with Glasses/ Surgery Satisfaction with Glasses/ Surgery Poor Satisfaction with Glasses/ Surgery Fair Satisfaction with Glasses/ Surgery Average Satisfaction with Glasses/ Surgery Good Satisfaction with Glasses/ Surgery Excellent Question Title * 2. Is there anything we could have done to improve your last visit? Question Title * 3. Please provide the following Your Name: Email: Done
