Please take a few moments and let us know what you thought of your last visit… Service RatingsCommunication prior to appointmentGreatGoodFairPoorN/AAppointment availabilityGreatGoodFairPoorN/AWaiting room timeGreatGoodFairPoorN/AFeesGreatGoodFairPoorN/AQuality of care from staffGreatGoodFairPoorN/AQuality of care from doctorGreatGoodFairPoorN/AConcerns or questions answeredGreatGoodFairPoorN/AOverall quality of careGreatGoodFairPoorN/ASchedulingPreferred day for appointmentsSundayMondayTuesdayWednesdayThursdayFridaySaturdayNo PreferencePreferred time for appointments7am to 9am9am to 5pm5pm to 8pm8pm to 10pmNo PreferenceDo you plan on returning for your next comprehensive examination?YesNoWould you schedule appointments online?YesNoProductsSatisfaction with eyeglassesGreatGoodFairPoorN/ASatisfaction with contact lensesGreatGoodFairPoorN/ARange of eyeglasses selectionGoodToo FewToo ManyToo Many Of The Same TypeIdentification - This section is optional.Why did you choose us for your eye health care?Your Name (Optional) First Last Additional commentsCommentsThis field is for validation purposes and should be left unchanged.
