How Did We Do?

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How Did We Do?

We value your opinion. We only have seven easy questions and it will take a couple of minutes to complete. We will use your responses to improve our quality of care and to better serve you.

Email *

Thank you for participating in this brief online review of Ophthalmic Surgeons and Consultants of Ohio. It will only take a couple of minutes to complete. Our goal is to improve patient satisfaction and the quality of our eye care.

First and Last Name *

Cell Phone - Optional (Area Code + Number)

1) How did you hear about us? *

Referral from another patient

Referral from another doctor

Social Media

Web Search

Conference/Meeting

Other:

2) Who Treated You? *

N. Douglas Baker, MD

John A. Burns, MD

Kenneth V. Cahill, MD

Megan M. Chambers, MD

Alice T. Epitropoulos, MD

Jill A. Foster, MD

David M. Lehmann, MD

Cameron B. Nabavi, MD

Daniel G. Straka, MD

Other:

3) Date of Service - Optional

YYYY

4) Please describe the services performed (Please be as descriptive as you would like to be) *

5) How did it go overall? (Please be as descriptive as you would like to be) *

6) Please rate your overall experience *

5 Star

4 Star

3 Star

2 Star

1 Star

N/A

Overall Experience

Procedure Outcome

Quality of Care

Responsiveness

Punctuality

Professionalism

7) Would you recommend our practice and your care provider to others? *

Yes

By clicking "SUBMIT" I confirm the information in this service evaluation is true and accurate and represents my actual first-hand experience which I am authorized to discuss.

Submit

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