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Home » Contact Us » Satisfaction Survey

Satisfaction Survey

  • Please support us in providing excellent service to our patients by filling out the survey below. Then, stop by our office to receive your free bottle of premium lens cleaner.
  • Doctor

  • Evaluate the following statements.
    GreatGoodFairPoorN/A
    Communication Prior to Appointment
    Waiting Room Time
    Quality of Care from Staff
    Quality of Care from Doctor
    Overall Experience
    Frame Selection
    Lens Options
    Satisfaction with Eyeglasses
    Satisfaction with Contact Lenses