Patient Survey

We are always striving to build a stronger relationship with our patients. Please let us know how we are doing so that we may improve upon our services to you. Thank you for taking the time and effort to fill out and return our survey.

Please rate the following:

	Excellent	Good	Satisfactory	Poor
When scheduling your appointment was the person understanding and helpful?
How was the telephone etiquette from our staff?
Was the front office staff competent and knowledgeable?
Was Dr. Jenkins friendly and understanding?
Was Dr. Ng courteous and understanding?
Was Dr. Ueda, kind and understanding?
Was our technician concerned with your problems?
Did our staff and Dr. Jenkins explain your vision problem / condition so you understand?
How was the concern for privacy and our facility?
How was your overall experience during your visit?
Was our billing department proficient and knowledgeable?
Did we meet your expectations and what could we do better?
During your visit is there any staff member you would like to comment about?
Please place any other comments or suggestions you may have.