Was our staff friendly on the phone when you called to make your initial screeing appointment?
During your screening appointment, was our staff friendly and helpful and did we answer all of your questions?
Did you feel confident in the doctor's explanations and knowledge during your screening appointment?
During your screening appointment, did you feel undue pressure to book your surgery?
How was your experience on your surgery day?
Who was your doctor on your surgery day?
During your entire experience, were you treated with care and respect?
Was our facility clean, welcoming, and comfortable?
What influenced your decision most to have Refractive Surgery? (Please check only one)
Rate the importance of the following for selecting the Eye Institute Laser Vision Center.
How satisfied are you with your vision after surgery?
Where did you hear about the Eye Institute Laser Vision Center? (Please check all that apply)
Have you referred family or friends to the Eye Institute for eye care?
What did you like best about your experience at the Eye Institute?
Do you have any other comments?
Name (Optional)We will have a quarterly drawing for one $50 gift certificate to a local Rapid City restaurant for those patients that fill out our survey and provide their name.