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Patient Satisfaction Survey





1) Did you have an appointment?

 Yes No

Please tell us how satisfied or dissatisfied you were with each of the following:

2) How satisfied were you with the way you were treated by the staff at our office?

 Very Satisfied Somewhat Satisfied Very Dissatisfied

3) How satisfied were you with the way you were treated by the doctor’s assistants?

 Very Satisfied Somewhat Satisfied Very Dissatisfied

4) The doctor?

 Very Satisfied Somewhat Satisfied Very Dissatisfied

5) The amount of time the doctor spent with you?

 Very Satisfied Somewhat Satisfied Very Dissatisfied

6) Overall, would you say your visit to our office was very positive, somewhat positive, somewhat negative or very negative?

 Very Positive Somewhat Positive Somewhat Negative Very Negative

Comments:

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Office Hours

Monday – Friday
9:00 AM – 5:00PM

OPEN SATURDAYS.

Call specific office for hours.

Quick Links

  • What to Expect
  • What is a Retina Specialist?
  • What is a Glaucoma Specialist?
  • What is the Cornea?
  • Cataract Surgery Progress
  • Insurance Plans
  • Our Physicians
  • Research
  • Appointments
  • Patient Satisfaction Survey
  • HIPPA Privacy
  • Privacy Policy
  • Terms of Service

Specialty Eye Care Medical Center

We specialize in the diagnosis and treatment of vision disorders utilizing state-of-the-art equipment and advanced eye care practices. The doctors and staff at Specialty Eye Care strive to offer our patients the highest quality vision care and service.

Information

  • What to Expect
  • What is a Retina Specialist?
  • What is a Glaucoma Specialist?
  • What is the Cornea?
  • Cataract Surgery Progress
  • Insurance Plans
  • Our Physicians
  • Research
  • Appointments
  • Patient Satisfaction Survey
  • HIPPA Privacy
  • Privacy Policy
  • Terms of Service

Locations

GLENDALE, CA
409 N. Central Ave.
Glendale, CA 91203
Phone: (818) 265-7777

NORTHRIDGE, CA
18250 Roscoe Blvd., Suite #330
Northridge, CA 91325
Phone: (818) 882-7700

Open Saturdays!

GLENDALE, CA
SURGERY CENTER
1146 North Brand Blvd.
Glendale, CA 91202
Phone: (818) 265-7777

SHERMAN OAKS, CA
13739 Riverside Dr. #A
Sherman Oaks, CA 91423
Phone: (818) 386-0008

WEST HOLLYWOOD, CA
7739 Santa Monica Blvd.
West Hollywood, CA 90046
Phone : (323) 656-7771

Call for Appointment


Copyright @ 2012 Specialty Eye Care Medical Center