Annapolis Vision Center

SURVEY

Thank you for your recent visit to our office! We would appreciate your assistance in completing the following questions in order to help us better serve your eye care needs.
Was our staff courteous and helpful?	Yes No
Were you seen in a timely manner?	Yes No
Was your examination thorough?	Yes No
Were you satisfied with the explanation of your visual conditions and treatment options?	Yes No
If fit with contact lenses or glasses, did the service and product quality meet your expectations?	Yes No
Would you refer a friend to our office for eye care?	Yes No
How would you rate your overall experience with our office? Exceeded my expectations Average Room for Improvement
Other comments:
Name (optional): Date: Thank you for taking the time to share you thoughts and opinions with us!

	SUNGLASS SAVINGS!
For a limited time, buy one pair of glasses or a year's supply of contact lenses and receive a super discount on your prescription or non-prescription sunglasses! This is a limited time offer - call the office for details.