Post-Operative Survey • Houston,TX • Katy,TX • Whitsett Vision Group

Name

First Last

Phone

Surgeon*

How would you rate your overall surgical experience at Whitsett Vision Group?*

1 = Poor 5 = Excellent

Were all of your pre-surgery questions answered to your satisfaction?*

1 = Poor 5 = Excellent

Did our staff set reasonable expectations for your surgery center experience?*

1 = Poor 5 = Excellent

Is there a Whitsett Vision Group team member that provided you with exceptional care?

Would you refer your friends and family to Whitsett Vision Group?*

Name

This field is for validation purposes and should be left unchanged.