Satisfaction Survey Fill in the survey to be entered a draw to win $100 towards your next purchase in our office!Service RatingsHow would you rate your overall experience with your doctor? 1 (low) 2 3 4 5 (high) How would you rate your overall experience with the rest of our staff? 1 (low) 2 3 4 5 (high) Would you refer friends and family to our office? Yes No During my time with the Eye Doctor, they...(Select all that apply) Addressed all my issues Explained all my tests Recommended solutions for me - sunglasses, contact lenses, etc. In what areas of our practice could we improve? Please check as many as you wish Communication Prior to Appointment Wait Time Assistance in Frame Boutique None If you did not purchase from us, what was the reason? Please check as many as you wish Selection Service Knowledge Price None Have you visited our Facebook page? Yes No Finally all comments are helpful, so was there something great that you experienced today please let us know so that we can acknowledge our staff.Your Name (Optional) First Last Additional commentsPlease enter the following before submitting: 20 + 20 = PhoneThis field is for validation purposes and should be left unchanged.