Patient Satisfaction Survey | Kung Eye Center

The staff of Kung Eye continually strives to improve the service our patients experience. Please complete the form below and let us know your thoughts on the service you received and anything we can do to improve, with a 10 being the highest. Thank you!

Receptionists

How would you rate the phone manner of the receptionist who answered your call:

How easy was it for you to obtain an appointment?

How friendly & helpful was the receptionist to inform you regarding your referral?

How friendly & helpful was the receptionist at check-in & check-out?

How was your wait time?

Doctors & Technicians

Did our doctor answer your questions to your satisfaction?

How would you rank the bedside manner of the doctor?

How friendly & helpful was the technician?

Did the technician explain what test you were having and what the test was for?

Billing

How friendly & helpful was the billing staff when you called for a billing question?

Did the billing staff answer your billing question in detail?

How knowledgeable was the billing staff you spoke to?

Surgical Coordinator

How friendly & helpful was the surgical coordinator?

Did the surgical coordinator explain all the details related to your surgery to your satisfaction?

Was the surgical coordinator able to answer your questions?

When you called our office regarding your surgery, did our surgical coordinator return your call promptly?

How clean was the surgery center?

How friendly & helpful were the surgery center staff & nurses?

How would you rate your overall surgery experiences?

Other

Which doctor did you see?

How would you rate your overall experience at our office?

Would you recommend us to your family & friends?

Which Office did you go to?

What else can we do to improve your future experience at our office?

Other Comments

First Name (optional)

Last Name (optional)

Should there be any negative experience, is it ok for management to contact you?

If yes, please provide your Contact Telephone #:

East Brunswick, New Jersey

PHONE

ADDRESS

192 Summerhill Rd
East Brunswick, NJ 08816

HOURS

Monday, Tuesday & Thursday : 9:00AM – 8:00PM
Wednesday, Friday & Saturday : 9:00AM – 5:00PM

Staten Island, New York

PHONE

ADDRESS

23 Oceanic Ave
Staten Island, NY 10312-5100

HOURS

Monday – Thursday: 9:00AM – 8:00PM
Friday– Saturday: 9:00AM – 5:00PM

img.wp-smiley,img.emoji{display:inline !important;border:none !important;box-shadow:none !important;height:1em !important;width:1em !important;margin:0 .07em !important;vertical-align:-.1em !important;background:none !important;padding:0 !important;}.wp-block-audio :where(figcaption){color:#555;font-size:13px;text-align:center;}.is-dark-theme .wp-block-audio :where(figcaption){color:rgba(255,255,255,.65);}.wp-block-audio{margin:0 0 1em;}.wp-block-code{border:1px solid #ccc;border-radius:4px;font-family:Menlo,Consolas,monaco,monospace;padding:.8em 1em;}.wp-block-embed :where(figcaption){color:#555;font-size:13px;text-align:center;}.is-dark-theme .wp-block-embed :where(figcaption){color:rgba(255,255,255,.65);}.wp-block-embed{margin:0 0 1em;}.blocks-gallery-caption{color:#555;font-size:13px;text-align:center;}.is-dark-theme .blocks-gallery-caption{color:rgba(255,255,255,.65);}:root :where(.wp-block-image figcaption){color:#555;font-size:13px;text-align:center;}.is-dark-theme :root :where(.wp-block-image figcaption){color:rgba(255,255,255,.65);}.wp-block-image{margin:0 0 1em;}.wp-block-pullquote{border-bottom:4px solid;border-top:4px solid;color:currentColor;margin-bottom:1.75em;}.wp-block-pullquote cite,.wp-block-pullquote footer,.wp-block-pullquote__citation{color:currentColor;font-size:.8125em;font-style:normal;text-transform:uppercase;}.wp-block-quote{border-left:.25em solid;margin:0 0 1.75em;padding-left:1em;}.wp-block-quote cite,.wp-block-quote footer{color:currentColor;font-size:.8125em;font-style:normal;position:relative;}.wp-block-quote.has-text-align-right{border-left:none;border-right:.25em solid;padding-left:0;padding-right:1em;}.wp-block-quote.has-text-align-center{border:none;padding-left:0;}.wp-block-quote.is-large,.wp-block-quote.is-style-large,.wp-block-quote.is-style-plain{border:none;}.wp-block-search .wp-block-search__label{font-weight:700;}.wp-block-search__button{border:1px solid #ccc;padding:.375em .625em;}:where(.wp-block-group.has-background){padding:1.25em 2.375em;}.wp-block-separator.has-css-opacity{opacity:.4;}.wp-block-separator{border:none;border-bottom:2px solid;margin-left:auto;margin-right:auto;}.wp-block-separator.has-alpha-channel-opacity{opacity:1;}.wp-block-separator:not(.is-style-wide):not(.is-style-dots){width:100px;}.wp-block-separator.has-background:not(.is-style-dots){border-bottom:none;height:1px;}.wp-block-separator.has-background:not(.is-style-wide):not(.is-style-dots){height:2px;}.wp-block-table{margin:0 0 1em;}.wp-block-table td,.wp-block-table th{word-break:normal;}.wp-block-table :where(figcaption){color:#555;font-size:13px;text-align:center;}.is-dark-theme .wp-block-table :where(figcaption){color:rgba(255,255,255,.65);}.wp-block-video :where(figcaption){color:#555;font-size:13px;text-align:center;}.is-dark-theme .wp-block-video :where(figcaption){color:rgba(255,255,255,.65);}.wp-block-video{margin:0 0 1em;}:root :where(.wp-block-template-part.has-background){margin-bottom:0;margin-top:0;padding:1.25em 2.375em;}.wp-block-button__link{color:#fff;background-color:#32373c;border-radius:9999px;box-shadow:none;text-decoration:none;padding:calc(.667em + 2px) calc(1.333em + 2px);font-size:1.125em;}.wp-block-file__button{background:#32373c;color:#fff;text-decoration:none;}:root{--wp--preset--aspect-ratio--square:1;--wp--preset--aspect-ratio--4-3:4/3;--wp--preset--aspect-ratio--3-4:3/4;--wp--preset--aspect-ratio--3-2:3/2;--wp--preset--aspect-ratio--2-3:2/3;--wp--preset--aspect-ratio--16-9:16/9;--wp--preset--aspect-ratio--9-16:9/16;--wp--preset--color--black:#000;--wp--preset--color--cyan-bluish-gray:#abb8c3;--wp--preset--color--white:#fff;--wp--preset--color--pale-pink:#f78da7;--wp--preset--color--vivid-red:#cf2e2e;--wp--preset--color--luminous-vivid-orange:#ff6900;--wp--preset--color--luminous-vivid-amber:#fcb900;--wp--preset--color--light-green-cyan:#7bdcb5;--wp--preset--color--vivid-green-cyan:#00d084;--wp--preset--color--pale-cyan-blue:#8ed1fc;--wp--preset--color--vivid-cyan-blue:#0693e3;--wp--preset--color--vivid-purple:#9b51e0;--wp--preset--color--dark-gray:#28303d;--wp--preset--color--gray:#39414d;--wp--preset--color--green:#d1e4dd;--wp--preset--color--blue:#d1dfe4;--wp--preset--color--purple:#d1d1e4;--wp--preset--color--red:#e4d1d1;--wp--preset--color--orange:#e4dad1;--wp--preset--color--yellow:#eeeadd;--wp--preset--gradient--vivid-cyan-blue-to-vivid-purple:linear-gradient(135deg,rgba(6,147,227,1) 0%,#9b51e0 100%);--wp--preset--gradient--light-green-cyan-to-vivid-green-cyan:linear-gradient(135deg,#7adcb4 0%,#00d082 100%);--wp--preset--gradient--luminous-vivid-amber-to-luminous-vivid-orange:linear-gradient(135deg,rgba(252,185,0,1) 0%,rgba(255,105,0,1) 100%);--wp--preset--gradient--luminous-vivid-orange-to-vivid-red:linear-gradient(135deg,rgba(255,105,0,1) 0%,#cf2e2e 100%);--wp--preset--gradient--very-light-gray-to-cyan-bluish-gray:linear-gradient(135deg,#eee 0%,#a9b8c3 100%);--wp--preset--gradient--cool-to-warm-spectrum:linear-gradient(135deg,#4aeadc 0%,#9778d1 20%,#cf2aba 40%,#ee2c82 60%,#fb6962 80%,#fef84c 100%);--wp--preset--gradient--blush-light-purple:linear-gradient(135deg,#ffceec 0%,#9896f0 100%);--wp--preset--gradient--blush-bordeaux:linear-gradient(135deg,#fecda5 0%,#fe2d2d 50%,#6b003e 100%);--wp--preset--gradient--luminous-dusk:linear-gradient(135deg,#ffcb70 0%,#c751c0 50%,#4158d0 100%);--wp--preset--gradient--pale-ocean:linear-gradient(135deg,#fff5cb 0%,#b6e3d4 50%,#33a7b5 100%);--wp--preset--gradient--electric-grass:linear-gradient(135deg,#caf880 0%,#71ce7e 100%);--wp--preset--gradient--midnight:linear-gradient(135deg,#020381 0%,#2874fc 100%);--wp--preset--gradient--purple-to-yellow:linear-gradient(160deg,#d1d1e4 0%,#eeeadd 100%);--wp--preset--gradient--yellow-to-purple:linear-gradient(160deg,#eeeadd 0%,#d1d1e4 100%);--wp--preset--gradient--green-to-yellow:linear-gradient(160deg,#d1e4dd 0%,#eeeadd 100%);--wp--preset--gradient--yellow-to-green:linear-gradient(160deg,#eeeadd 0%,#d1e4dd 100%);--wp--preset--gradient--red-to-yellow:linear-gradient(160deg,#e4d1d1 0%,#eeeadd 100%);--wp--preset--gradient--yellow-to-red:linear-gradient(160deg,#eeeadd 0%,#e4d1d1 100%);--wp--preset--gradient--purple-to-red:linear-gradient(160deg,#d1d1e4 0%,#e4d1d1 100%);--wp--preset--gradient--red-to-purple:linear-gradient(160deg,#e4d1d1 0%,#d1d1e4 100%);--wp--preset--font-size--small:18px;--wp--preset--font-size--medium:20px;--wp--preset--font-size--large:24px;--wp--preset--font-size--x-large:42px;--wp--preset--font-size--extra-small:16px;--wp--preset--font-size--normal:20px;--wp--preset--font-size--extra-large:40px;--wp--preset--font-size--huge:96px;--wp--preset--font-size--gigantic:144px;--wp--preset--spacing--20:.44rem;--wp--preset--spacing--30:.67rem;--wp--preset--spacing--40:1rem;--wp--preset--spacing--50:1.5rem;--wp--preset--spacing--60:2.25rem;--wp--preset--spacing--70:3.38rem;--wp--preset--spacing--80:5.06rem;--wp--preset--shadow--natural:6px 6px 9px rgba(0,0,0,.2);--wp--preset--shadow--deep:12px 12px 50px rgba(0,0,0,.4);--wp--preset--shadow--sharp:6px 6px 0px rgba(0,0,0,.2);--wp--preset--shadow--outlined:6px 6px 0px -3px rgba(255,255,255,1),6px 6px rgba(0,0,0,1);--wp--preset--shadow--crisp:6px 6px 0px rgba(0,0,0,1);}:where(.is-layout-flex){gap:.5em;}:where(.is-layout-grid){gap:.5em;}body .is-layout-flex{display:flex;}.is-layout-flex{flex-wrap:wrap;align-items:center;}.is-layout-flex > :is(*,div){margin:0;}body .is-layout-grid{display:grid;}.is-layout-grid > :is(*,div){margin:0;}:where(.wp-block-columns.is-layout-flex){gap:2em;}:where(.wp-block-columns.is-layout-grid){gap:2em;}:where(.wp-block-post-template.is-layout-flex){gap:1.25em;}:where(.wp-block-post-template.is-layout-grid){gap:1.25em;}.has-black-color{color:var(--wp--preset--color--black) !important;}.has-cyan-bluish-gray-color{color:var(--wp--preset--color--cyan-bluish-gray) !important;}.has-white-color{color:var(--wp--preset--color--white) !important;}.has-pale-pink-color{color:var(--wp--preset--color--pale-pink) !important;}.has-vivid-red-color{color:var(--wp--preset--color--vivid-red) !important;}.has-luminous-vivid-orange-color{color:var(--wp--preset--color--luminous-vivid-orange) !important;}.has-luminous-vivid-amber-color{color:var(--wp--preset--color--luminous-vivid-amber) !important;}.has-light-green-cyan-color{color:var(--wp--preset--color--light-green-cyan) !important;}.has-vivid-green-cyan-color{color:var(--wp--preset--color--vivid-green-cyan) !important;}.has-pale-cyan-blue-color{color:var(--wp--preset--color--pale-cyan-blue) !important;}.has-vivid-cyan-blue-color{color:var(--wp--preset--color--vivid-cyan-blue) !important;}.has-vivid-purple-color{color:var(--wp--preset--color--vivid-purple) !important;}.has-black-background-color{background-color:var(--wp--preset--color--black) !important;}.has-cyan-bluish-gray-background-color{background-color:var(--wp--preset--color--cyan-bluish-gray) !important;}.has-white-background-color{background-color:var(--wp--preset--color--white) !important;}.has-pale-pink-background-color{background-color:var(--wp--preset--color--pale-pink) !important;}.has-vivid-red-background-color{background-color:var(--wp--preset--color--vivid-red) !important;}.has-luminous-vivid-orange-background-color{background-color:var(--wp--preset--color--luminous-vivid-orange) !important;}.has-luminous-vivid-amber-background-color{background-color:var(--wp--preset--color--luminous-vivid-amber) !important;}.has-light-green-cyan-background-color{background-color:var(--wp--preset--color--light-green-cyan) !important;}.has-vivid-green-cyan-background-color{background-color:var(--wp--preset--color--vivid-green-cyan) !important;}.has-pale-cyan-blue-background-color{background-color:var(--wp--preset--color--pale-cyan-blue) !important;}.has-vivid-cyan-blue-background-color{background-color:var(--wp--preset--color--vivid-cyan-blue) !important;}.has-vivid-purple-background-color{background-color:var(--wp--preset--color--vivid-purple) !important;}.has-black-border-color{border-color:var(--wp--preset--color--black) !important;}.has-cyan-bluish-gray-border-color{border-color:var(--wp--preset--color--cyan-bluish-gray) !important;}.has-white-border-color{border-color:var(--wp--preset--color--white) !important;}.has-pale-pink-border-color{border-color:var(--wp--preset--color--pale-pink) !important;}.has-vivid-red-border-color{border-color:var(--wp--preset--color--vivid-red) !important;}.has-luminous-vivid-orange-border-color{border-color:var(--wp--preset--color--luminous-vivid-orange) !important;}.has-luminous-vivid-amber-border-color{border-color:var(--wp--preset--color--luminous-vivid-amber) !important;}.has-light-green-cyan-border-color{border-color:var(--wp--preset--color--light-green-cyan) !important;}.has-vivid-green-cyan-border-color{border-color:var(--wp--preset--color--vivid-green-cyan) !important;}.has-pale-cyan-blue-border-color{border-color:var(--wp--preset--color--pale-cyan-blue) !important;}.has-vivid-cyan-blue-border-color{border-color:var(--wp--preset--color--vivid-cyan-blue) !important;}.has-vivid-purple-border-color{border-color:var(--wp--preset--color--vivid-purple) !important;}.has-vivid-cyan-blue-to-vivid-purple-gradient-background{background:var(--wp--preset--gradient--vivid-cyan-blue-to-vivid-purple) !important;}.has-light-green-cyan-to-vivid-green-cyan-gradient-background{background:var(--wp--preset--gradient--light-green-cyan-to-vivid-green-cyan) !important;}.has-luminous-vivid-amber-to-luminous-vivid-orange-gradient-background{background:var(--wp--preset--gradient--luminous-vivid-amber-to-luminous-vivid-orange) !important;}.has-luminous-vivid-orange-to-vivid-red-gradient-background{background:var(--wp--preset--gradient--luminous-vivid-orange-to-vivid-red) !important;}.has-very-light-gray-to-cyan-bluish-gray-gradient-background{background:var(--wp--preset--gradient--very-light-gray-to-cyan-bluish-gray) !important;}.has-cool-to-warm-spectrum-gradient-background{background:var(--wp--preset--gradient--cool-to-warm-spectrum) !important;}.has-blush-light-purple-gradient-background{background:var(--wp--preset--gradient--blush-light-purple) !important;}.has-blush-bordeaux-gradient-background{background:var(--wp--preset--gradient--blush-bordeaux) !important;}.has-luminous-dusk-gradient-background{background:var(--wp--preset--gradient--luminous-dusk) !important;}.has-pale-ocean-gradient-background{background:var(--wp--preset--gradient--pale-ocean) !important;}.has-electric-grass-gradient-background{background:var(--wp--preset--gradient--electric-grass) !important;}.has-midnight-gradient-background{background:var(--wp--preset--gradient--midnight) !important;}.has-small-font-size{font-size:var(--wp--preset--font-size--small) !important;}.has-medium-font-size{font-size:var(--wp--preset--font-size--medium) !important;}.has-large-font-size{font-size:var(--wp--preset--font-size--large) !important;}.has-x-large-font-size{font-size:var(--wp--preset--font-size--x-large) !important;}:where(.wp-block-post-template.is-layout-flex){gap:1.25em;}:where(.wp-block-post-template.is-layout-grid){gap:1.25em;}:where(.wp-block-columns.is-layout-flex){gap:2em;}:where(.wp-block-columns.is-layout-grid){gap:2em;}:root :where(.wp-block-pullquote){font-size:1.5em;line-height:1.6;}@media print{body{visibility:hidden;}#gform_confirmation_message_6{visibility:visible;position:absolute;left:0;top:0;}.inner-banner-sec,.footer-area,.col-lg-4,#gform_wrapper_7{display:none;}}.gfield_checkbox label{margin-left:10px !important;}.page-id-923 .contact-area-map{margin-top:56px;}@media (max-width: 767px){.request-appointment-address{padding-top:0px !important;}}.page-id-923 .careers-form-area .gform_wrapper.gravity-theme .gfield input#input_9_13::file-selector-button{background-color:#2a4077;color:#fff;border:none;}.search-form-wrapper{position:relative;width:100%;}.advance-search-wrapper{position:relative;width:100%;}#advance-search-loading,#advance-search-close{position:absolute;right:40px;left:initial;width:16px;top:15px;}#advance-search-close{cursor:pointer;}#advance-search-display{position:absolute;width:100%;background:#fff;max-height:calc(50vh - 30px);overflow-x:hidden;margin-top:30px;margin-bottom:10px;}#advance-search-display ul{list-style:none;margin:0;padding:0;}#advance-search-display h5{padding:10px 20px;background:#363636;color:#fff;font-size:100%;font-weight:700;}#advance-search-display ul li{border-bottom:1px solid #e4e4e4;padding:15px 20px;}#advance-search-display ul li:hover{background:#f4f4f4;}#advance-search-display ul li h4,#advance-search-display ul li p{margin-bottom:0px;color:#1d1d1d;}#advance-search-display ul li p{line-height:normal;}#advance-search-display ul li p a{color:inherit;}#advance-search-display ul li h4{font-family:"multi-display";font-size:22px;font-weight:300;text-transform:capitalize;}#advance-search-display ul li p{margin-top:5px;}#advance-search-display ul li p:empty{display:none;}