Horizon Eye Care
Patient Survey
Plese enter your
Patient ID
:
Did the
Patient Services staff (front desk)
:
Exceed your expectations
Meet your expectations
Not meet your expectations (please explain):
Did the
Technical staff (assistants to the physician)
:
Exceed your expectations
Meet your expectations
Not meet your expectations (please explain):
Did the
Optical staff (staff in the glasses department)
:
Exceed your expectations
Meet your expectations
Not meet your expectations (please explain):
Did the
Physician/s
:
Exceed your expectations
Meet your expectations
Not meet your expectations (please explain):
How likely is it that you would recommend our
Physicians
to your family and friends?
Very Likely
Likely
Not Likely
How likely is it that you would recommend our
Optical Shop
to your family and friends?
Very Likely
Likely
Not Likely
Is there any other part of your experience that you would liketo comment on -
positive and/or negative!