Wufoo

Please rate the quality of our services and/or products as they relate your last visit.
	Excellent	Very Good	Good	Fair	Poor
Convenience of our office hours	1	2	3	4	5
Ease of making your appointment	1	2	3	4	5
Promptness with which you were seen by the doctor	1	2	3	4	5
Thoroughness of the care you received	1	2	3	4	5
Clarity of the doctor's explanations	1	2	3	4	5
Friendliness and professionalism of the doctor	1	2	3	4	5
Friendliness and professionalism of the front desk	1	2	3	4	5
Friendliness and professionalism of the opticians	1	2	3	4	5
Help with understanding your vision benefits	1	2	3	4	5
Selection of eyewear frames and sunglasses	1	2	3	4	5
Fees associated with your eyewear purchase	1	2	3	4	5
Overall satisfaction with your visit	1	2	3	4	5
Likelihood that you will return to see us	1	2	3	4	5
Likelihood that you will recommend us to others	1	2	3	4	5

If you were shopping for new glasses or contact lenses and did not purchase from us, please tell us why:
Are there any ways we can make your experience better in the future:
Are there any staff members that deserve special recognition:
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