Ophthalmic Consultants of Boston: Patient Satisfaction Survey

PATIENT SERVICES

Patient Satisfaction

Patient Satisfaction Survey

It is OCB's goal to provide our patients with the highest quality medical and surgical eye care. Ophthalmic Consultants of Boston (OCB) would greatly appreciate your assisance in providing your opinion on this survey.

Patient input has been valuable to OCB since the practice was formed in 1969. Your opinions and comments will assist us in making improvement to OCB's patient care services and to ensure that we are meeting your needs.

All answers and comments are confidential and intended to assist OCB in improving our services.

Thank you for taking the time to complete this survey.

Please note: the information sent through this form is not encrypted or sent through a secure server.

Your Name (Optional):
Date of Visit:	//
Doctor:
Office:
Was this your first visit to OCB?	yes no

Courtesy and helpfulness of the telephone staff:
Courtesy and responsiveness of the front desk staff:
Courtesy and responsiveness of the technician staff:
Comfort and cleanliness of the exam room:
Waiting time in the exam room before being seen by the doctor:
Doctor addressed your needs and/or concerns:
Overall rating of the care received during your visit:
Likelihood of you recommending this practice to others:
What type of transportation did you take to get to the office? (If other, please explain in comments box below)
How did you first learn of our office or who referred you to us? (If other, please explain in comments box below)
Do you have any suggestions or comments which might assist OCB to better serve you and others? Please check this box if you would like to be contacted by OCB regarding your comments. Enter email address or phone number to be contacted at:

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