We strive to do the very best we can for you, our patients. We need feedback to continue to improve and grow in this very competitive marketplace. Thank you for choosing us to provide your vision care and for your time and honesty while completing this short survey.

SATISFACTION SURVEY - Only questions with an asterisk (*) are required, while all other information is optional.

			Yes		No		N/A
Were you seen on time?	*
Were our hours convenient for you?	*
Did you get all of your questions answered?	*
If you got glasses, were you satisfied with how quickly they were done?
Were you happy with our glasses selection?
Was our staff friendly and courteous?	*
Was the staff knowledgeable?	*
Were you satisifed with the examination?	*
Did you feel our pricing was competitive?	*
Rate you overall experience in our office:	*		Please Choose Excellent Good Fair Poor
Would you refer a friend or family member to us?	*
Comments: Please take a moment to elaborate on any of the above questions, or on anything else you'd like to comment on. If you were happy with our services, we'd surely appreciate the feedback with a testimonial. We always like to hear good things!
Name (optional): E-Mail (optional): Phone (optional):
Thank you for taking the time to give us your feedback. We will use this information to do the best possible job we can for you, your family and friends. Dr. Greg Vosseteig and staff