Bennett S. Romanoff, MD
Chief of Ophthalmology
Flower Hospital
Flower Hospital Medical Office Building
5300 Harroun Road Ste 112
Sylvania, OH 43560
419-885-5556
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Please invest a few moments to rate our people and procedures. This feedback enables us to continue to improve. There are 10 questions like the one below.
Patient Survey
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  • 1. When you received your prescription for glasses or contacts, how satisfied were you with the doctor or staff member’s explanation about our optical services?
Survey Page 2
  • 2. How acceptable was the amount of waiting time before seeing one of our optical staff members?
Survey Page 3
  • 3. How would you rate the overall service of the optician?
  • Friendly and courteous?
  • Competent and professional?
Survey Page 4
  • 4. How would you rate the optician’s ability to communicate knowledge to you about optical products?
Survey Page 5
  • 5. How satisfied were you with the selection of frames that were available?
Survey Page 6
  • 6. How would you rate the timeliness of delivery for your glasses?
Survey Page 7
  • 7. How would you rate the quality of the glasses you received?
  • Frames?
  • Lenses?
Survey Page 8
  • 8. Please rate your overall experience with our optical dispensary
Survey Page 9
  • 9. Would you recommend our optical dispensary to your friends?
Survey Page 10
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