Exit this survey

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* 1. Are you aware of the Services offered by The Practice Ophthalmology?

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* 2. Are you aware our routine waiting times are 4 weeks?

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* 3. Are you aware that our clinics are directly bookable?

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* 4. Do you already use our service? (if no go to Qu 15)

If you have used the service please rate your satisfaction level with each of the following statements:
1 – Strongly disagree
2 – Disagree
3 – Agree
4 – Strongly agree

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* 5. I would be happy to refer into this service

  1- Strongly disagree 2- Disagree 3- Agree 4- Strongly Agree
1

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* 6. The referral process is clearly defined

  1- Strongly disagree 2- Disagree 3- Agree 4- Strongly Agree
1

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* 7. The Practice is easy to contact

  1- Strongly disagree 2- Disagree 3- Agree 4- Strongly Agree
1

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* 8. The Practice provide a prompt response to referrals

  1- Strongly disagree 2- Disagree 3- Agree 4- Strongly Agree
1

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* 9. I find The Practice staff to be helpful and courteous

  1- Strongly disagree 2- Disagree 3- Neutral 4- Agree 5- Strongly agree
1

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* 10. I find The Practice clinical staff to be competent and knowledgeable

  1- Strongly disagree 2- Disagree 3- Agree 4- Strongly Agree
1

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* 11. The Practice provide sufficient feedback on the outcome of referrals

  1- Strongly disagree 2- Disagree 3- Agree 4- Strongly Agree
1

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* 12. Overall, I am satisfied with the service provided by The Practice

  1- Strongly disagree 2- Disagree 3- Agree 4- Strongly Agree
1

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* 13. Please add any comments about your experience in dealing with The Practice:

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* 14. Do you have any suggestions for service improvements?

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* 15. Reasons for not referring/Deciding factors in which service to refer into

T