Patient Survey

Quality Assurance Survey

We want to know what you think and we want to reward you for telling us!

Please take a few minutes to answer questions about your experience with IEC. You will receive a $20 credit on your account for any future purchase at IEC. (One time credit of $20 per patient account; must be 18 years or older).

We use survey information internally to improve our patient care. This information is never shared with parties outside of IEC; however, we may contact you if you have an issue you would like to be resolved. IEC doctors and staff are committed to patient satisfaction.

Please rate the following questions using a scale of 1 to 5:

5 - Excellent Experience
4 - Very Good Experience
3 - Average
2 - Fair
1 - Poor
N/A - Not Applicable / Don't Know

Was our staff courteous and professional on the phone? (required)
54321N/A

How courteous and professional was our staff during every aspect of your visit? (required)
54321N/A

Were all your questions answered? Were we attentive to your needs? (required)
54321N/A

How would you rate your overall experience in our facility? (required)
54321N/A

Rate your satisfaction with IEC in regards to the value of your services and products. (required)
54321N/A

How well did we follow up with you if you ordered contacts or glasses? (required)
54321N/A

Would you like to be contacted in regards to a specific issue? (required)
YesNo

Would you recommend IEC to your family and friends? (required)
YesNo







Are you 18 or older? (required)
YesNo