Pocatello Eye Care Patient Survey
Please choose the most appropriate answer for each question.
Email address *
Which location did you see a doctor at?
Which doctor did you see?
How satisfied were you with the wait time for your appointment?
How satisfied were you with the overall appearance of the office?
How satisfied were you with the ability to reach our office?
How satisfied were you with the courtesy and helpfulness of our front desk staff?
How satisfied were you with the professionalism and helpfulness of our technicians?
How satisfied were you with your doctor's ability to listen and provide professional care?
Please rate your satisfaction with the doctor's explanation of your eye condition.
How satisfied were you with our staff's ability to listen and provide professional care?
How was your overall satisfaction with our practice?
How likely are you to recommend Pocatello Eye Care to your family and friends?
Additional Comments or Concerns
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