Survey Form

Fill in the Survey Form below

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Were you satisfied with our communication prior to your recent visit?*

Was our front office staff courteous and helpful?*

Were you satisfied with the explanation of your visual conditions and treatment options?*

Were you satisfied with the assistance our optical staff provided in selecting eyewear?*

Was our optical staff caring and friendly?*

Would you refer family and friends to our office?*

Were you aware we provide myopia control consultations and treatment plans?*

Were you aware comprehensive eye examinations are recommended every one to two years for adults and annually for children and seniors?*

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