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Customer Satisfaction Survey

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Please let us know how your last visit went.

Service Ratings

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

Do you plan on returning for your next comprehensive examination?
Would you schedule appointments online?

Products

Satisfaction with eyeglasses
Satisfaction with contact lenses

Identification - This section is optional.

Your Name (Optional)