Experience Survey

Experience Survey

Our team at Mid Florida Eye appreciates your feedback. We strive to exceed all of your expectations in providing shared care for our patient community. Thank you for taking the time to complete this survey as it will help us to be a better partner to you and your practice.

First Name*

Last Name*

Email Address*

Practice Name*

Please rate the following statements below based on the rating scale:

Appointments for my patients were made with ease at MFE.*

1 = Strongly Disagree 2 = Disagree 3 = Neutral 4 = Agree 5 = Strongly Agree

Select or enter value

Please elaborate to help us improve

My referred patients were examined in a timely manner.*

1 = Strongly Disagree 2 = Disagree 3 = Neutral 4 = Agree 5 = Strongly Agree

Select or enter value

Please elaborate to help us improve

The staff at MFE were courteous and helpful.*

1 = Strongly Disagree 2 = Disagree 3 = Neutral 4 = Agree 5 = Strongly Agree

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Please elaborate to help us improve

Results, Consults and Diagnostics were communicated in a timely manner.*

1 = Strongly Disagree 2 = Disagree 3 = Neutral 4 = Agree 5 = Strongly Agree

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Please elaborate to help us improve

MFE's physicians are experienced and provide exceptional medical treatment for my patients*

1 = Strongly Disagree 2 = Disagree 3 = Neutral 4 = Agree 5 = Strongly Agree

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Please elaborate to help us improve

I feel like I have good access to MFE's physicians via phone or answering service.*

1 = Strongly Disagree 2 = Disagree 3 = Neutral 4 = Agree 5 = Strongly Agree

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Please elaborate to help us improve

I feel like appropriate levels of care and follow up were provided,*

1 = Strongly Disagree 2 = Disagree 3 = Neutral 4 = Agree 5 = Strongly Agree

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Please elaborate to help us improve

I feel like my patients were satisfied with MFE's services.*

1 = Strongly Disagree 2 = Disagree 3 = Neutral 4 = Agree 5 = Strongly Agree

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Please elaborate to help us improve

MFE has convenient locations.*

1 = Strongly Disagree 2 = Disagree 3 = Neutral 4 = Agree 5 = Strongly Agree

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Please elaborate to help us improve

I am happy with the insurance plans accepted at MFE.*

1 = Strongly Disagree 2 = Disagree 3 = Neutral 4 = Agree 5 = Strongly Agree

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Please elaborate to help us improve

I will recommend my patients to MFE in the future.*

1 = Strongly Disagree 2 = Disagree 3 = Neutral 4 = Agree 5 = Strongly Agree

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Please elaborate to help us improve

Any additional thoughts or comments?

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