Exit Questionnaire for Stuart Macfarlane Optometrist
This is a feedback form for patients of Stuart Macfarlane Optometrist.  All information you provide is anonymous.
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Reception - Greeted in a friendly and helpful manner? *
Best
Worst
Reception - Practice clean, comfortable and attractive? *
Best
Worst
Reception - Waiting time to see the optometrist? *
Best
Worst
Examination - Which optometrist did you see? *
Required
Examination - Eye exam thorough and findings fully explained? *
Best
Worst
Examination - Optometrist listened and showed concern for you? *
Best
Worst
Examination - Were your vision problems solved? *
Best
Worst
Dispensing - Optical receptionist knowledgeable, helpful and friendly? *
Best
Worst
General - Quality of products and services? *
Best
Worst
General - Fees fair, reflecting good value? *
Best
Worst
General - Staff's desire to solve problems and make visit enjoyable? *
Best
Worst
General - How likely are you to refer others to our practice? *
Best
Worst
General - Your overall grade of your experience with our practice? *
Best
Worst
Dispensing - Were glasses ordered? *
General - Any further feedback?
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