Please let us know how your last visit went.Service RatingsCommunication prior to appointment Great Good Fair Poor N/AAppointment availability Great Good Fair Poor N/AWaiting room time Great Good Fair Poor N/AFees Great Good Fair Poor N/AQuality of care from staff Great Good Fair Poor N/AQuality of care from doctor Great Good Fair Poor N/AConcerns or questions answered Great Good Fair Poor N/AOverall quality of care Great Good Fair Poor N/ASchedulingPreferred day for appointmentsSelect preferred day for appointments >SundayMondayTuesdayWednesdayThursdayFridaySaturdayNo preferencePreferred time for appointmentsSelect preferred time for appointments >7 am to 9 am9 am to 5 pm5 pm to 8 pm8 pm to 10 pmNo preferenceDo you plan on returning for your next comprehensive examination? Yes NoPlease tell us why notWould you schedule appointments online? Yes NoPlease tell us why notProductsSatisfaction with eyeglasses Great Good Fair Poor N/ASatisfaction with contact lenses Great Good Fair Poor N/ARange of eyeglasses selectionSelect range of eyeglasses selection >GoodToo FewToo ManyToo many of the same typeIdentification - This section is optional.Why did you choose us for your eye health care?Your Name (Optional) First LastAdditional commentsPhoneThis field is for validation purposes and should be left unchanged.Δ