How was your experience?

We value your feedback and we are continually striving to improve our services. Please take a few moments to share your experience with us.

Responses are anonymous but you can leave your name at the end if you like.

happy, okay and sad faces

    1. How would you rate the overall quality of care you received?

    Very satisfiedSatisfiedNeutralDissatisfiedVery dissatisfied

    2. How satisfied were you with the following?

      Appointment Scheduling?

    Very satisfiedSatisfiedNeutralDissatisfiedVery dissatisfied

      Professionalism of staff?

    Very satisfiedSatisfiedNeutralDissatisfiedVery dissatisfied

      Explanation of diagnoses and procedures?

    Very satisfiedSatisfiedNeutralDissatisfiedVery dissatisfied

      Our communication and information provided?

    Very satisfiedSatisfiedNeutralDissatisfiedVery dissatisfied

    3. How would you rate the cleanliness and comfort of the clinic?

    ExcellentGoodAveragePoorTerrible

    4. Would you recommend our practice to others?

    YesNo

    5. How did you hear about Insight Eye Surgery?

    My GPMy OptometristFamily/friendOnline searchAdvertising/mediaOther

    Is there anything else you would like to tell us?

    Responses are anonymous but you can tell us your name if you wish:

    Send your answers by pressing the submit button below. Thank you for your time.