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(630) 897-5104
Email:
[email protected]
Aurora Eye Clinic, LTD
Treehouse
1300 N. Highland Ave.
Aurora, IL 60506
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Home
Office Info
About Our Doctors
Our Staff
Office Policies
Payment Policy
Map & Directions
Patient Info
First Visit
FAQ
Emergency Info
Eye Care
Optical Department
Patient Satisfaction Survey
Treatment
Eye Conditions
Intraocular Lenses
YAG Laser Capsulotomy
Cosmetic Procedures
Glasses & Contact Lenses
Resources
Related Links
Forms – Medical Records Registration
Contact Us
Patient Portal
Patient Satisfaction Survey
Aurora Eye Clinic, LTD
»
Patient Info
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Patient Satisfaction Survey
Survey - AuroraEyeClinic.com
1. What service(s) did you have completed during your most recent office visit? Check all that apply.
A. Patient Exam
B. Routine Check-up
C. Lab Work
D. Procedure
E. Procedure Follow-up
2. Five being the best, how would you rate our facility?
1
2
3
4
5
3. Five being the best, how would you rate our staff?
1
2
3
4
5
4. Would you recommend our practice to family or friends?
Yes
No
5. Any additional feedback you would like to provide to our office in regard to your recent visit?
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