Patient Comments - University of Michigan Kellogg Eye Center

Home

Clinic Specialties

Eye Conditions

Vision Health Podcasts

Tell Us about Your Visit

To Our Patients - Tell Us about Your Visit

Thank you for choosing the University of Michigan Kellogg Eye Center for your eye care. We are committed to the well-being of our patients and their families, and appreciate the opportunity to learn how we can improve any aspect of our services.

Please share your impressions with us.

WHERE AND WHEN WERE YOU SEEN?

Date of Service:

Clinic Location (check below):

Ann Arbor (please specify clinic)
	Contact Lens	Low Vision
	Cornea	Neuro-ophthalmology
	Eye Plastics	Pediatrics
	General Clinic	Photography
	Glaucoma	Retina

Briarwood		Brighton
Canton		Livonia
Milford		West Bloomfield
Ypsilanti - Clark Road		Ypsilanti - Reichert

TELL US ABOUT YOU - Name and address are required.

Name:
Address:
City:	State: Zip:

Email:

PLEASE TELL US ABOUT YOUR VISIT

Did you find it easy to make any appointment?
Yes No

Do you feel the length of time you waited in the clinic was appropriate?
Yes No

Please rate the helpfulness of the staff
Excellent Good Fair Poor

Were you satisfied with your medical care?
Excellent Good Fair Poor

Please rate your overall experience
Excellent Good Fair Poor

WHAT ELSE WOULD YOU LIKE TO TELL US?