Operose Health Patient Feedback Questionnaire

Your feedback is of huge importance to us so that we can continue to improve our services based on the experience of our patients. Please help us to do this by completing this patient experience questionnaire.

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* 1. Which clinic area were you seen in?

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* 2. If you know the name of the clinican you saw, please let us know.

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* 3. What date was your appointment on?

Date of Appointment

Date

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* 4. Were you aware you were being referred to see a specialist ophthalmology (eye) service?

Yes

No

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* 5. Was the waiting time between you being advised your referral had been sent and us contacting you, what you expected?

Yes

No

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* 6. If you have contacted us regarding your referral, was it easy to do so by telephone or email?

Yes

No

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* 7. Was the Customer Service person you dealt with; welcoming, informative and respectful, when booking your appointment?

Yes

No

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* 8. Was the letter and accompanying information we sent you regarding your appointment helpful?

Yes

No

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* 9. Was the waiting time between us booking your appointment and you being seen in our clinic, what you expected?

Yes

No

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* 10. Would you have preferred we contact you by an alternative method?

Yes

No