REFERRING physician SURVEY

It's our goal to provide the best possible retina care to our mutual patients. To do so, it's important for us to know how we've been able to meet your needs so far. Your input will be kept strictly confidential. There's space at the end of this survey for any other comments you might want to share with us.

Thanks for helping us serve you better!

Do you currently refer patients to Central Florida Retina?
Have you made any changes in your referrals to CFR in the past year?
What percentage of your retina-related referrals are made to our practice?
CFR is able to offer my patients a timely appointment.
CFR is able to offer my patients a timely appointment.
CFR is willing to see urgent cases on short notice.
CFR is willing to see urgent cases on short notice.
CFR keeps me informed on my patients’ conditions.
CFR keeps me informed on my patients’ conditions.
The content in the patient reports is appropriate.
The content in the patient reports is appropriate.
The CFR staff is courteous and responsive.
The CFR staff is courteous and responsive.
My patients had a positive experience at CFR.
My patients had a positive experience at CFR.
Doctor *
Doctor
If doctor representative, please provide your name and title.
Phone (optional)
Phone (optional)
Would you like to be contacted directly?