Quality Improvement Survey of the

University Eye Center

The purpose of this survey is to monitor the everyday operations of the University Eye Center
(UEC) at the Michigan College of Optometry (MCO). If you currently do not examine patients at
the UEC but have examined patients there in the past, please answer all the questions as
they pertain ONLY to the UEC at MCO.

1. Which computerized visual acuity system do you prefer?

a. M&S Technology in Room 509
b. Acuity Pro in Room 510
c. MiraMed in Room 518
d. Stimuli in Room 519
e. N/A

2. The dress code is appropriate for the clinic.

a. Strongly Agree
b. Agree
c. Disagree
d. Strongly Disagree

3. I am receiving/have received an appropriate volume of patients for my clinical

experience.
a. Strongly Agree
b. Agree
c. Disagree
d. Strongly Disagree

4. I am receiving/have received an appropriate variety of patients for my clinical

experience. (i.e.: Primary Care, Pediatric, Contact Lens, Low Vision, etc.)
a. Strongly Agree
b. Agree
c. Disagree
d. Strongly Disagree

5. The time I spend in the clinic with patients is productive and important for my education.
a. Strongly Agree
b. Agree
c. Disagree
d. Strongly Disagree
6. The equipment I need is available when I need to use it.
a. Strongly Agree
b. Agree
c. Disagree
d. Strongly Disagree

7. I would like to have access to the following equipment. Circle all that apply.
a. OCT
b. HRT 3
c. GDx
d. Fundus Camera
e. Slitlamp Camera
f. iCare tonometer
g. NCT
h. Matrix visual fields
i. FDT visual fields
j. Medmont topographer
k. Brightness Acuity Tester (BAT)
l. Autorefractor/autokeratometer
m. Other (Please Specify: _________________________)

8. The equipment is clean when I need to use it.

a. Strongly Agree
b. Agree
c. Disagree
d. Strongly Disagree

9. Supplies I need are readily available when I need them.

a. Strongly Agree
b. Agree
c. Disagree
d. Strongly Disagree

10. Forms I need are readily available when I need them.

a. Strongly Agree
b. Agree
c. Disagree
d. Strongly Disagree
11. The temperature variation from room to room DOES NOT affect my ability to learn.
a. Strongly Agree
b. Agree
c. Disagree
d. Strongly Disagree
12. I feel I can approach the doctors/instructors with questions and concerns.
a. Strongly Agree
b. Agree
c. Disagree
d. Strongly Disagree

13. What would you like to see in the new facility that the current one is lacking? Circle all
that apply.
a. More Space
b. Better Temperature Control
c. More Equipment
d. More Supplies
e. Better Technology
f. None of the above
g. Other (Please Specify: _________________________)

14. How can the University Eye Center be improved? (i.e.: how to reducing patient wait time
during high volume times, duties that are not getting done, clinic setup, employee
attitudes, professional atmosphere, form layouts, etc.)
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15. Please elaborate on any questions that you answered Disagree or Strongly Disagree.
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16. I am a
 a. Third year student
b. Fourth year student
c. Other

Please e-mail or return completed surveys to Linda Littke (littkel@ferris.edu) in PEN-636 by

Wednesday November 25, 2009 no later than 12:00 noon.

Thank you