How Was Your Visit?

Please take a few moments and let us know what you thought of your last visit...

Please complete the form below

Service Ratings
Communications prior to appointment
Appointment availability
Waiting room time
Quality of care from staff
Quality of care from doctor
Concerns or questions answered
Do you plan on returning for your next comprehensive examination?
Satisfaction with eyeglasses if applicable
Satisfaction with contact lenses if applicable
Range of eyeglass selection
Identification (optional)