Reader Survey June 2010

IMAGE newsletter for optometristsWe would like to know what you think of IMAGE. Your feedback will ensure that we continue to provide a relevant, interesting and informative newsletter.

Reader Survey

Please take a few moments to answer the eight questions below.

WIN one of two $50 gift certificates

Complete the online survey by  Friday 18 June to enter the draw to win one of two $50 gift certificates to spend at Guide Dogs NSW/ACT's online shop.

Note: We require an email address to complete this survey however, your survey responses will be de-identified.

1. Overall I find the IMAGE newsletter useful.

Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree

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

Centre Update

Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree

Case Report

Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree

Eye-Condition Spotlight

Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree

Insert (eg Instrument Profile)

Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree

Staff Profile

Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree

3. I find the IMAGE newsletter easy to understand.

Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree

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

Services offered by CFEH

Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree

Type of patient to refer to CFEH

Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree

Tests available at CFEH

Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree

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

Yes
No

If yes, please describe below:

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

Monthly
Bi-monthly
Quarterly
Other

If other please describe below:

7. a) Have you registered with CFEH?

Yes
No

    b) Have you referred to CFEH?

Yes
No

8. Where do you primarily practice?

 Sydney metro
 Regional NSW
 Rural NSW
 Canberra
 Other ACT

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: *

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