patient survey.

Albany Regional Eye Surgery Center is dedicated to providing quality eye care to our patients and surgeons. This commitment does not end when your procedure or treatment is complete. We are grateful for your feedback, comments and responses to our patient questionnaire. Please take a few moments to provide your feedback.



Were you greeted in a welcoming friendly manner when you arrived?

Yes    No    Not Applicable


Did you receive an explanation of the forms you were asked to sign?

Yes    No    Not Applicable


Were you treated in an acceptable amount of time?

Yes    No    Not Applicable


Did our staff introduce themselves to you?

Yes    No    Not Applicable


Did you understand your post operative instructions?

Yes    No    Not Applicable


Were all your questions answered to your satisfactions?

Yes    No    Not Applicable


If someone accompanied you, were they welcomed and comfortable?

Yes    No    Not Applicable


Your overall satisfaction with Albany Regional Eye Surgery Center:

Excellent    Good    Fair    Poor


Was there something we could have done better?


OPTIONAL: