Feedback Survey
Your feedback will only be viewed by Dr. Sarai and Dr. Sood
 
Please take a few seconds to complete this evaluation. We greatly appreciate
your feedback and will use this information to better serve your eye care needs
 
 
      Yes   No  
    Was our staff courteous and helpful?      
 
    Were you seen in a timely manner?      
 
    Was your examination thorough?      
 
    Were you satisfied with your diagnosis and treatment explanations?      
 
    Did our contact lens/eyeglasses service & quality meet your expectations?      
 
    Did you receive adequate information regarding your insurance benefits?      
 
    Will you refer others to our office for their eye care?      
 
 
    Please rate your overall satisfaction with our office.   5   4   3   2   1
      (5= exceeded expectations,  1= very dissatisfied)          

 
OTHER INFORMATION - You may elaborate on any information below:
 
 
If you have additional comments, please contact: Dr. Sood – drsood@villageeyecare.net or Dr. Sarai --drsarai@villageeyecare.net