Please take a few seconds to complete this evaluation. We greatly appreciate
your feedback and will use this information to better serve your eye care needs
Was our staff courteous and helpful?
Were you seen in a timely manner?
Was your examination thorough?
Were you satisfied with your visual condition & treatment options explanations?
Did our contact lens/eyeglasses service & quality meet your expectations?
Will you refer others to our office for their eye care?
Please rate your overall satisfaction with our office.
(5= exceeded expectations, 1= very dissatisfied)
You may elaborate on any information below, and/or in the office