Advance Optical 26th Annual M&Ms Survey
Welcome to Advance Optical's 26th Annual M&Ms Survey!
This year's focus in on your Practice's "Best Practices" in dispensing your Patient's best vision solutions. Please check all the boxes that apply. We will publish the results in one of our upcoming newsletters as well as on our website. We greatly appreciate your taking the time to complete this survey.
Patient Positioning *
Required
What is your Best Practice for ensuring your patients visit the Dispensary? How do you ensure that they will wait if you are busy with another patient?
Your answer
Frame Board Management *
Required
Lens Offerings *
Required
Marketing/Communications *
Required
Practice Metrics and Consultation *
Required
If you use an external agency or program, please describe how your Practice is benefiting from it:
Your answer
We could use more help or information from Advance Optical
Please list what help or info you would like:
Your answer
Please provide any general comments about how we at Advance are serving you:
General Comments/Feedback
Your answer
Contact Information and Survey Gift
Please complete this section with your contact information so we can make sure we have our records up-to-date and that we know where to send your survey thank-you gift!
My full name is: *
Your answer
The name and address of my practice is: *
Your answer
This is the email address where I would like to receive Advance Optical news: *
Your answer
These are the names of our current optical staff: *
.
Your answer
For my survey thank-you gift*, I would like: *
*The recipient of the thank-you gift is under no obligation to purchase any Essilor products or services.
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