Untitled Document about our practice
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Customer Feedback Survey Sullivan Optometry Customer Feedback Survey
 
  Thank you for choosing our practice. Please complete the short, anonymous survey below to help us improve our customer service.

Again, thank you for your time.

Sincerely,
Sullivan Optometry

Convenience of office hours?
Excellent
Very Good
Good
Fair
Poor

Ease of making your appointment
Excellent
Very Good
Good
Fair
Poor

Promptness with which you were seen by the Doctor
Excellent
Very Good
Good
Fair
Poor

Thoroughness of care you received
Excellent
Very Good
Good
Fair
Poor

Clarity of Doctors explanations
Excellent
Very Good
Good
Fair
Poor

Doctors friendliness and courtesy
Excellent
Very Good
Good
Fair
Poor

Staffs friendliness and courtesy
Excellent
Very Good
Good
Fair
Poor

Help with understanding your insurance coverage
Excellent
Very Good
Good
Fair
Poor

Selection of eyeglass frames
Excellent
Very Good
Good
Fair
Poor

Selection of sunglass frames
Excellent
Very Good
Good
Fair
Poor

Comfort and cleanliness of office
Excellent
Very Good
Good
Fair
Poor

Cost of Services
Excellent
Very Good
Good
Fair
Poor

Cost of Products
Excellent
Very Good
Good
Fair
Poor

Overall satisfaction of your visit
Excellent
Very Good
Good
Fair
Poor

Will you be returning to see us?
Yes
No
Uncertain

Will you be recommending us to others?
Yes
No
Uncertain