• Our Exams
  • Eyewear and Lenses
  • Contact Lenses
  • Corneal Refractive Therapy
  • Refractive Surgery
  • Child Eye Care
  • Computer Eye Strain
  • Low Vision
  • Sunglasses
  • Sports Eyewear
  • Warranties
  • Patient Survey

Patient Satisfaction Survey

The doctor and staff at Advanced Vision Care would like to thank you for helping us with this survey. Our mission is to stay at the forefront of our profession, and your input regarding our services and products is greatly appreciated.

It is optional to enter your name and email address below. If you do, your name will be entered into a monthly drawing for a gift card to a local restaurant! Only one entry per name will be eligible for each monthly drawing.

Your email address will be treated with respect. It will be used solely for the purpose of announcing to the winner that he/she has won the monthly drawing. No email addresses will ever be sold or given to third parties.

Please rate us on the following and submit your feedback below. Select "Not Applicable" for any questions that do not apply to your visit.


1. The knowledge and helpfulness of our telephone staff.
Outstanding Above Average Average Fair Poor Not Applicable
2. The ablity to schedule an appointment within a reasonable time period.
Outstanding Above Average Average Fair Poor Not Applicable
3. The convenience of the office location.
Outstanding Above Average Average Fair Poor Not Applicable
4. The convenience of office hours.
Outstanding Above Average Average Fair Poor Not Applicable
5. Being greeted courteously and in a timely manner.
Outstanding Above Average Average Fair Poor Not Applicable
6. Being seen in a timely manner the day of your appointment.
Outstanding Above Average Average Fair Poor Not Applicable
7. The thouroughness of the pre-examination testing and the examination.
Outstanding Above Average Average Fair Poor Not Applicable
8. The interest of the doctor in your eye health and vision.
Outstanding Above Average Average Fair Poor Not Applicable
9. The explanation of the results of your exam and of any questions you may have had.
Outstanding Above Average Average Fair Poor Not Applicable
10. The selection of frames to choose from.
Outstanding Above Average Average Fair Poor Not Applicable
11. The explanation of optical products, options, and charges.
Outstanding Above Average Average Fair Poor Not Applicable
12. The quality of your eyewear/contact lenses.
Outstanding Above Average Average Fair Poor Not Applicable
13. The timeliness with which you received your eyewear/contact lenses.
Outstanding Above Average Average Fair Poor Not Applicable
14. The office staff being pleasant and courteous.
Outstanding Above Average Average Fair Poor Not Applicable
15. How would you rate your overall satisfaction with our office?
Outstanding Above Average Average Fair Poor Not Applicable
16. Would you refer a friend or family member to our office for future eye care needs?
Yes No Unsure
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