How would you rate the helpfulness of our staff upon your first phone call in?
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Select Your Answer
Excellent
Good
Fair
Poor
I Don't Know
When you came for your appointment, how long did you have to wait before you were seen by someone?
2.Are you interested in seeing well up close (reading) without glasses after your cataract surgery?
Select Your Answer
5-10 Minutes
11-20 Minutes
21-30 Minutes
More than 30 Minutes
How satisfied were you with the way you were treated by the doctor?
3.If you had to wear glasses after your vision treatment for one of the following activities, which one would you to most be willing to wear glasses for?
Select Your Answer
Very Satisfied
Somewhat Satisfied
No Opinion
Somewhat Dissatisfied
Very Dissatisfied
How satisfied were you with the quality of your care?
4.If you could have good vision for driving during the day without glasses, and good near vision without glasses in most situations, would you be able to tolerate some halos and glare around lights at night?
Select Your Answer
Very Satisfied
Somewhat Satisfied
No Opinion
Somewhat Dissatisfied
Very Dissatisfied
How would you rate the courtesy you were shown by our staff at the Center?
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Select Your Answer
Excellent
Good
Fair
Poor
I Don't Know
My questions were answered.
6.In our daily lives there are different things we do that require us to SEE at different distances. We have grouped some of these vision activities into 5 lifestyle zones. Think about the things in life you want to do the most without depending on glasses after cataract surgery. Which group is the most important
Select Your Answer
Strongly Agree
Agree
No Opinion
Disagree
Strongly Disagree
My visit to the Center was a pleasant experience.
7. Consider your personality. Based on the options scale below how would you rank your personality?
Select Your Answer
Strongly Agree
Agree
No Opinion
Disagree
Strongly Disagree
What are we doing especially well?
What are we doing especially well?
What can we do to improve?
What are we doing especially well?
Submit