Tell Us What You Think

Please take a few moments and let us know what you thought of your last visit.

Service Ratings

Communication prior to appointment

Great

Good

Fair

Poor

N/A

Appointment availability

Waiting room time

Fees

Quality of care from staff

Quality of care from doctor

Concerns or questions answered

Overall quality of care

_____________________________________________________________________

_____________________________________________________________________

Provider

_____________________________________________________________________

Scheduling

____________________________________________________________________

Preferred day for appointments

Preferred time for appointments

Do you plan on returning for your next
comprehensive examination?

Would you schedule appointments online?

Products

____________________________________________________________________

Great

Good

Fair

Poor

N/A

Satisfaction with eyeglasses

Satisfaction with contact lenses

Range of eyeglasses selection

Identification (Optional)

_____________________________________________________________________

 

 
To ensure that you are a real person and not a spam robot,
please answer the following math problem: =