Survey

How are we doing?

We can only get better when we know how we are doing. Please help us by answering the questions about your experience and products at Jensen Optometrists, PLLC.

Reception:

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Was our staff courteous when scheduling your appointment? *

Were you greeted in a friendly manner? *

How would you rate the reception area atmosphere? *

Doctor's Assistant:

Did the assistant attend to you promptly after you arrived for your appointment? *

Did the assistant explain any testing she did and perform them professionally? *

Did the assistant question you thoroughly regarding your visual problem, your health history, and other interests you have that involve your vision? *

Doctor:

Was the eye exam thorough and the findings fully explained? *

Did the doctor listen to you and answer your questions? *

Do you feel the doctor addressed the main reasons for your visit? *

Frame Stylist:

Do you like the look of your new eyewear? *

Do you feel that different eyewear options were offered and explained to you? *

How satisfied are you with the size, diversity, and quality of our frame selection. *

Was the frame stylist knowledgeable, helpful, and friendly? *

Optical:

Do you like the adjustment of your new eyewear? *

Was your new eyewear delivered when promised? *

Was the optician knowledgeable, helpful, and friendly? *

Contact Lenses:

Were the contact lenses delivered when promised? *

How was your instruction in care and handling? *

Was the contact lens assistant knowledgeable, helpful, and friendly? *

Miscellaneous:

How do you rate the overall quality of service and products in our office. *

How was the desire by our staff to solve your problems and make your visit pleaseant? *

Did the quality of services meet your expectations and reflect good value? *

How likely are you to recommend our office to others? *

Has there ever been a time, after leaving our office, where something did not sit well with you? Perhaps something that someone said, something not explained to your satisfaction, or something that may have been handled improperly. At the time, you may not have felt it was worth mentioning. We think it is. Please let us know. *

How can we serve you better? *

Is there anyone on our staff that stands out as good or bad? *

What are we doing well? *

Name [Optional] *

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Thank you so much for taking the time to complete this survey. We truly value the information you have provided. We are committed to improving our interactions with our patients since the relationships we build are ones we hope will last a lifetime.

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