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Bloomberg Eye Center


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Please rate your satisfaction of the following:
Dissatisfied Neutral Satisfied Very Satisfied
Wait in the reception room
Friendliness and professionalism of staff
Comfort and appearance of practice
Explanation of procedure
Explanation of fees and financing options
Explanation of risks and complications
Explanation of our surgical results
Answered all your questions
 
 
Please rate the importance of the following in the selection of a surgeon or LASIK center.
Unimportant Of Little Importance Important Very Important
Providing complimentary consultation
Meeting the surgeon during consultation
Being referred by another doctor
Being referred by a friend or family member
Number of procedures performed by surgeon
Price of procedure
Financing options
Laser technology
Friendless and professionalism of staff
 
 
 
What was the primary reason you chose Bloomberg Eye Center for your LASIK evaluation?
   
 
 
 
What was the primary reason you did not elect to schedule surgery at the time of consultation?
   
 
 
 
Which of the following actions do you plan on taking before scheduling surgery?
 
Consult with another laser center or surgeon
 
Do more research on the Internet
 
Visit with other patients who had LASIK
 
Other
 

 
 
 
If you had one complaint about your visit to Bloomberg Eye Center, what would it be?
   
 
 
 
If there was anyone that stood out as an exceptional staff member, who would that be?
   
 
 
 
If you decide to move forward with your decision to have LASIK, how likely would you be to choose Bloomberg Eye Center for your procedure?
 
Unlikely
 
Don't Know
 
Likely
 
Definitely
 
At Bloomberg Eye Center we are committed to providing our patients with the highest quality of care and customer service. Thank you again for assisting us in providing the best care for our patients.
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