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Customer Satisfaction Survey

We are always doing our best to improve and we carefully review all of the input we receive.

Provider

Service Ratings

Great Good Fair Poor N/A
Communication prior to appointment
Appointment availability
Waiting room time
Fees
Quality of care from staff
Quality of care from doctor
Concerns or questions answered
Overall quality of care

Scheduling

Preferred day for appointments
Preferred time for appointments
Do you plan on returning for your next comprehensive examination?
Yes
No


For no, please tell us why not
Would you schedule appointments online?
Yes
No


Products

Great Good Fair Poor N/A
Satisfaction with eyeglasses
Satisfaction with contact lenses
Range of eyeglasses selection

Identification (Optional)

Why did you choose us for your eye health care?
Your name (optional)
Additional comments