1. Overall I find the IMAGE newsletter useful.

2. For each of the sections below, please answer the statement: I find this ‘section' of IMAGE useful.

Centre Update

Case Report

Eye-Condition Spotlight

Insert (eg Instrument Profile)

Staff Profile

3. I find the IMAGE newsletter easy to understand.

4. IMAGE newsletter has enhanced my understanding of the following:

Services offered by CFEH

Type of patient to refer to CFEH

Tests available at CFEH

5. Is there any additional or different content you'd like to see in IMAGE?

If yes, please describe below:

6. Ideally, how often would you like to receive each issue of IMAGE?

If other please describe below:

7. a) Have you registered with CFEH?

    b) Have you referred to CFEH?

8. Where do you primarily practice?

Other comments:

Thank you for your time.

To enter the draw to win a $50 gift certificate to spend at Guide Dogs online shop, please provide your name and contact details below.

Entries for the draw should be received by Friday June 18.

Name:

Phone:

Email Address: *

Please type the characters you see below