Survey
Please take a few moments and let us know how we are doing.
Rate Our Service
Excellent
Good
Fair
Poor
N/A
Phone Communication
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?
Yes
No
For no, please tell us why not
Rate Our Products
Great
Good
Fair
Poor
N/A
Satisfaction with eyeglasses
Satisfaction with contact lenses
Range of eyeglasses selection
Select »
Good
Too few
Too many
Too many of the same type
General Comments
Why did you choose us?
Your name, phone or email (optional)
Additional comments