Our doctors and the surgical staff want to thank you for ...
LASIK SATISFACTION SURVEY
Our doctors and the surgical staff want to thank you for choosing our facility for your eye care. It was our goal to offer you the best surgical care available. Please help us to determine if we are satisfying our patients’ needs by answering the following questions
Yes _____ No _____ Do you feel you were greeted courteously by our staff?
Yes _____ No _____ Were your instructions clear before surgery?
Yes _____ No _____ Did our doctor put you at ease during surgery by explaining the
procedure?
Yes _____ No _____ Do you feel the staff was thorough and competent in their
responsibilities?
Yes _____ No _____ Are you satisfied with your surgical results?
Often, people who are considering LASIK want to hear from others who have had the procedure.
Would you be willing to speak to these individuals on the phone or by e-mail? [ ] Yes [ ] No If yes, is there a name, number and e-mail to give to interested patients? Name _______________________
Tele. #________________________ E-mail Address ________________________________________
We hope that you are happy with your services received at Castleman Eye Center. We ask that you write on the lines below, a patient testimonial that we may use on our website, Google Review or marketing materials with your permission. If not, please tell us how we can improve.
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
May we share your comments in our promotional material? __________ Initial here if OK.
______ Check here if you prefer that we use your first name and last initial only.
Any Comments or Suggestions?____________________________________________________________
______________________________________________________________________________________
Thank you for taking the time to complete this questionnaire. It will help us to continue to meet our patients’ needs. Please visit the Castleman Eye Center FACEBOOK page to comment about your LASIK procedure.
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related download
- ear surgery tympanoplasty mastoidectomy patient
- our doctors and the surgical staff want to thank you for
- what can you gieesc members do to promote access and
- certificate of equivalence of core surgical
- guide to carrying out patient observation
- treatment tips for patients with acoustic neuroma
- sample template for rtw policy and procedures
- expert patient programme
Related searches
- thank you for the opportunity email
- thank you for allowing me the opportunity
- thank you for the job opportunity letter
- thank you for the opportunity to work
- thank you for the opportunity to interview
- thank you for the opportunity
- thank you for the job
- thank you for the job opportunity email
- thank you for the opportunity letter template
- thank you for giving me the opportunity
- thank you for the flowers and sympathy
- thank you for the review