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Eye Care Services
Glasses & Contacts
Insurance Info
Our Team
Contact Us
Customer Satisfaction Survey
Please let us know how your last visit went.
Doctor
*
< select >
Dr. John W. Pond
Dr. Michael Lunardo
Service Ratings
Communication prior to appointment
Great
Good
Fair
Poor
N/A
Appointment availability
Great
Good
Fair
Poor
N/A
Waiting room time
Great
Good
Fair
Poor
N/A
Fees
Great
Good
Fair
Poor
N/A
Quality of care from staff
Great
Good
Fair
Poor
N/A
Quality of care from doctor
Great
Good
Fair
Poor
N/A
Concerns or questions answered
Great
Good
Fair
Poor
N/A
Overall quality of care
Great
Good
Fair
Poor
N/A
Scheduling
Preferred day for appointments
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
No preference
Preferred time for appointments
7 am to 9 am
9 am to 5 pm
5 pm to 8 pm
8 pm to 10 pm
No preference
Do you plan on returning for your next comprehensive examination?
Yes
No
Please tell us why not
Would you schedule appointments online?
Yes
No
Please tell us why not
Products
Satisfaction with eyeglasses
Great
Good
Fair
Poor
N/A
Satisfaction with contact lenses
Great
Good
Fair
Poor
N/A
Range of eyeglasses selection
< select >
Good
Too Few
Too Many
Too many of the same type
Identification - This section is optional.
Why did you choose us for your eye health care?
Your Name (Optional)
First
Last
Additional comments
Comments
This field is for validation purposes and should be left unchanged.
