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Patient Experience Survey
We value your comments. Please select the most appropriate box...
Were we respectful of your time today?
yes
no
somewhat
The time I spent in the office was:
too long
too short
just about right
I was given information regarding my eye health, and I felt that it was
.
enough
too much
too little
My frame selection process was:
informative
too little info given
too aggressive
a good experience
My lens options were explained adequately
yes
no
If I ordered eyewear, the value matched the money spent
yes
no
We sincerely appreciate your referrals. Please indicate how likely you would be to refer friends or family to us for eyecare, based on your visit:
very likely
somewhat likely
somewhat unlikely
eyecare office does not really matter...
other, please explain:
What is one comment you might make that could improve our service to you?