patient survey.

Valley Eye Surgical Center strives to continuously improve our services and facility. We value your feedback and ask you to take a few moments to complete this survey.


Did you find our facility comfortable?

Yes    No    Not Applicable


Did you find our staff to be helpful?

Yes    No    Not Applicable


Did our staff address your questions and/or concerns adequately?

Yes    No    Not Applicable


Did you find your surgical experience to be positive?

Yes    No    Not Applicable


Were your post operative instructions explained satisfactorily?

Yes    No    Not Applicable


Your overall satisfaction with Valley Eye Surgical Center:

Excellent    Good    Fair    Poor


Was there something we could have done better?


OPTIONAL: