Optical Survey
When did you visit Advanced Optical? *
How would you rate your experience in our optical department? *
Poor, Not Satisfied
Excellent, Extremely Satisfied
Did you receive an eyeglasses prescription from Center for Advanced Eye Care? *
Did you receive a contact lens prescription from Center for Advanced Eye Care? *
Did you make a purchase from Advanced Optical? *
Were you pleased with our selection of frames? *
Were you pleased with the pricing of our frames and lenses? *
Comments About Our Office
Please give us any comments or suggestions to improve the operation of our practice. Both positive and negative comments are helpful.
How long did you have to wait until someone from our Optical staff assisted you?
During your visit, how were you treated by our Optical Staff?
Extremely Satisfied
Which member of our Optical staff assisted you?
How could Advanced Optical have better met your needs or expectations?
Your answer
Answers can be anonymous, however, you can include your name to be entered into our monthly giveaway.
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service