PEARS Patient Satisfaction Survey
We would be grateful to receive your feedback on your visit to the Primary Eyecare Assessment and Referral Service (PEARS) at the Opticians.

To ensure that the service has been set up to meet your needs, we are keen to hear your views regarding your experience of the service, and would therefore ask that you take a few minutes to fill in this short questionnaire.

Who referred you to the Primary Eyecare Assessment and Referral Service?
  1. Who referred you to the Primary Eyecare Assessment and Referral Service?
How did you hear about this service?
How long did you wait for a PEARS appointment after contacting the service?
How long did you wait for a PEARS appointment after contacting the service?
Were you satisfied with this length of time?
Were you satisfied with this length of time?
Were you able to access a PEARS optician close to home?
Were you able to access a PEARS optician close to home?
In terms of the service that the optometrist provided?
a. Did the optometrist explain the details of the condition you were suffering?
a. Did the optometrist explain the details of the condition you were suffering?
b. If medication was prescribed, did the optometrist fully explain the reasons why you should use it?
b. If medication was prescribed, did the optometrist fully explain the reasons why you should use it?
c. Did you feel able to ask any questions regarding your condition?
c. Did you feel able to ask any questions regarding your condition?
d. Were your questions answered satisfactorily?
d. Were your questions answered satisfactorily?
e. Overall, were you happy and confident with the service provided?
e. Overall, were you happy and confident with the service provided?
Which opticians did you visit?
Was this your first choice? (if not please explain)
What age range do you fit into?
What age range do you fit into?
Are you?
Are you?
How would you describe your Ethnicity?
How would you describe your Ethnicity?
Do you have any further comments that you would like to make?
THANK YOU FOR TAKING THE TIME TO FILL IN THIS QUESTIONNAIRE.

Please return this questionnaire to the Opticians or post to:

PEARS Coordinator, William Farr House, Mytton Oak Road, Shrewsbury, SY3 8XL