For the following items, we ask you to indicate only one number that corresponds to your level of satisfaction, as follows: 1. Extremely Dissatisfied; 2. Dissatisfied; 3. Fair; 4. Satisfied; 5. Extremely Satisfied

Safety during eye examination

1

2

3

4

5

Clarification of doubts

1

2

3

4

5

Kindness of the Optometrist

1

2

3

4

5

Optometrist Respect

1

2

3

4

5

Privacy during eye examination

1

2

3

4

5

Opportunity to express your opinion

1

2

3

4

5

Deepness of assessment

1

2

3

4

5

Clarity in explanations

1

2

3

4

5

Kindness of the team

1

2

3

4

5

Kindness of the receptionist

1

2

3

4

5

Ease of booking the first appointment

1

2

3

4

5

Ease of scheduling sessions after the first appointment

1

2

3

4

5

Availability of convenient times to carry out the treatment

1

2

3

4

5

Length of stay in the waiting room after the scheduled time

1

2

3

4

5

Convenience of the clinic location

1

2

3

4

5

Parking availability

1

2

3

4

5

Waiting room comfort

1

2

3

4

5

Comfort of the environment where was performed the consultation and/or treatment (e.g., visual therapy)

1

2

3

4

5

General hygiene conditions of the clinic

1

2

3

4

5

Ease of transit within the clinical facilities

1

2

3

4

5