PATIENT SATISFACTION SURVEY

Thank you for choosing ELITE VISION for your vision care. Your satisfaction with the services we provide is important to us. Please complete the short, anonymous survey below to help us provide the best service possible.

1. Convenience of our office hours

2. Ease of making your appointment

3. Promptness with which you were seen by the doctor

4. Thoroughness of care the you received

5. Clarity of Doctor's explanations

6. Doctor's friendliness and courtesy

7. Staff's friendliness and courtesy

8. Help with understanding your insurance benefits (if applicable)

9. Selection of eyeglass frames

10. Knowledge/assistance of optical staff

11. Comfort and cleanliness of office

12. Overall satisfaction with your visit

13. Would you recommend us to others?

14. How can we improve? Please enter any comments or suggestions below:

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