Satisfaction Survey Let us know how we’ve helped you so far on your way to better eye care. We want to make sure that everyone sees the best service possible. Service Ratings Communication Prior to Appointment GreatGoodFairPoorN/A Appointment Availability GreatGoodFairPoorN/A Waiting Room Time GreatGoodFairPoorN/A Fees GreatGoodFairPoorN/A Quality of Care from Staff GreatGoodFairPoorN/A Quality of Care from Doctor GreatGoodFairPoorN/A Concerns or Questions Answered GreatGoodFairPoorN/A Overall Quality of Care GreatGoodFairPoorN/A Scheduling Preferred Day for Appointments No preferenceSundayMondayTuesdayWednesdayThursdayFridaySaturday Preferred Time for Appointments 7am to 9am9am to 5pm5pm to 8pm8pm to 10pmNo preference Do you plan on returning for your next comprehensive examination? YesNo Would you schedule appointments online? YesNo Products Satisfaction with Eyeglasses GreatGoodFairPoorN/A Satisfaction with Contact Lenses GreatGoodFairPoorN/A Range of Eyeglass Selection GoodToo manyToo fewToo many of same type Identification (optional) Why did you choose us for your eye health care? Your Name (optional) Additional Comments Please leave this field empty.