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Satisfaction/Feedback Survey

Please take a few moments and let us know what you thought of your last visit...

Provider
Location
Doctor
Service Ratings
 
Great
Good
Fair
Poor
N/A
Communication prior to appointment
Appointment availability
Waiting room time
Fees
Quality of care from staff
Quality of care from doctor
Concerns or questions answered
Overall quality of care
Scheduling
Preferred day for appointments
Preferred time for appointments
Do you plan on returning for your next comprehensive examination? Yes
No

For no, please tell us why not
Would you schedule appointments online? Yes
No
Products
 
Great
Good
Fair
Poor
N/A
Satisfaction with eyeglasses
Satisfaction with contact lenses
Range of eyeglasses selection
Identification (Optional)
Why did you choose us for your eye health care?
Your name (optional)
Additional comments
 
 
 
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Locate Us

  • Collin Creek Mall - Plano
    811 N. Central Expy, Ste 1145
    Plano TX 75075
    Phone: 972-516-0026
    Fax: 972-516-0609
    Emergency Contact:

    In case of emergency, please phone our office at the number listed above and follow the instructions.


  • The Stonebriar Centre - Frisco
    2601 Preston Rd.
    Frisco TX 75034
    Phone: 972-335-9529
    Fax: 972-377-0648
    Emergency Contact:

  • The Village at Fairview
    120 Town Pl.
    Fairview TX 75069
    Phone: 972-549-4255
    Fax: 972-549-4257
    Emergency Contact: