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Eye Department Survey

Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.

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1

How satisfied are you with the service provided by the eye department?

Please select one option.
2

Rate the cleanliness of the eye department facilities.

Please rate from 1 to 10, with 1 being the lowest and 10 being the highest.
3

Please provide any feedback or suggestions for improvement.

Please type your answer.
4

How likely are you to recommend the eye department to others?

Please select one option.
5

Rate the waiting time at the eye department.

Please rate from 1 to 10, with 1 being the lowest and 10 being the highest.
6

Are you satisfied with the information provided to you during your visit to the eye department?

Please select one option.
7

How comfortable were the waiting area chairs at the eye department?

Please rate from 1 to 10, with 1 being the lowest and 10 being the highest.
8

Have you visited the eye department before?

Please select one option.
9

Would you prefer more appointment slots for the eye department?

Please select one option.
10

Any additional comments regarding your experience at the eye department?

Please type your answer.
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