Patient Satisfaction Survey

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Please respond to the following questions to the best of your ability. No identifying information is collected and your responses are recorded anonymously.

Appointment

Poor

Fair

Good

Excellent

Does Not Apply

Ease of making appointments by phone or text

Appointment available within a reasonable amount of time

Greeted when entering facility

Efficiency of the check-in process

Wait time

Ease of referral (if needed)

Clear selection

Staff

Poor

Fair

Good

Excellent

Does Not Apply

Courtesy of staff on phone

Friendliness of receptionist

Concern of staff

Explanation of billing or insurance

Answers to questions were thoroughly explained

Clear selection

Communication

Poor

Fair

Good

Excellent

Does Not Apply

Phone call answered promptly

Receiving advice or assistance during office hours

Explanation of procedure (if applicable)

Timely return of phone calls

Clear selection

Facility

Poor

Fair

Good

Excellent

Hours of operations convenient to you

Adequate parking

Directions and signage made it easy to locate office

Cleanliness of facility

Clear selection

Overall Satisfaction

Poor

Fair

Good

Excellent

Does Not Apply

Our practice

Quality of care

Overall experience

Clear selection

Would you recommend the provider to others?

Yes

Clear selection

Is there any way we can improve our services? Please explain.

Patient Status

New Patient

Returning Patient

Clear selection

Is there any additional information you would like to provide about your experience at Mackey Eyecare?

We are always looking for client feedback! Please consider providing a testimony of your Mackey Eyecare experience. No identifiable information will be provided unless specifically noted.

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