Patient Satisfaction Survey


Thank you in advance for taking the time to give us your feedback. We will use this information to better serve you. Your information is confidential and will be sent directly to Dr. Thomas Carr, Optometrist.

  1. When making your appointment was the staff courteous on the phone?
    Yes
    No
  2. When you arrived for your appointment were you greeted kindly?
    Yes
    No
  3. Did the staff answer any questions you had thoroughly and courteous?
    Yes
    No
  4. Upon arrival were you seen by the doctor in a timely manner?
    Yes
    No
  5. Did the doctor greet you kindly?
    Yes
    No
  6. Did you get the feeling the doctor genuinely cared about your needs?
    Yes
    No
  7. Were all of your questions and or treatment options explained to you by the doctor satisfactorily?
    Yes
    No
  8. When picking out your glasses was the staff receptive to your needs?
    Yes
    No
  9. Did they explain the benefits of the different lens options available?
    Yes
    No
  10. Was there a wide enough variety of frame styles, and price range available to fit your needs?
    Yes
    No
  11. Were your glasses and or contact lenses delivered in a timely manner?
    Yes
    No
  12. Would you refer a friend or family member to our practice?
    Yes
    No
  13. Overall how satisfied were you with your experience at our practice?
    Good
    Fair
    Poor
Additional Information: