Satisfaction Survey

Complete our Satisfaction Survey to let us know how we're doing and how we could improve! If you have questions that you need answered, try our contact form.

Doctor

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
Questions and concerns answered
Overall quality of care

Scheduling

Do you plan on returning?
Yes
No
Returning Comments

Products

Great
Good
Fair
Poor
N/A
Satisfaction with eyeglasses
Satisfaction with contacts
Eyeglasses Selection
Selection Comments

Optional

Name
How did you find us?
Additional Comments
Contact Form
Satisfaction Survey