Optical Shop Survey

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1. How satisfied are you with your new glasses and/or contact lenses?

How satisfied are you with your new glasses and/or contact lenses? Completely satisfied.

Somewhat satisfied.

Not very satisfied.

Not satisfied at all.

Not sure/don't know.

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2. Thinking back to your visit to the optical shop, were you greeted promptly when you walked into the optical area?

Thinking back to your visit to the optical shop, were you greeted promptly when you walked into the optical area? Yes

No

Other (please specify)

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3. Using a 1 to 5 scale with 5 which represents "They could not have been any more helpful", down to one representing "No help at all", please rate the personal assistance and helpfulness you received.

Using a 1 to 5 scale with 5 which represents "They could not have been any more helpful", down to one representing "No help at all", please rate the personal assistance and helpfulness you received. 1

2

3

4

5

Other (please specify)

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4. From the date of your order, how long did it take to receive nofication that your glasses and/or contact lenses had arrived.

From the date of your order, how long did it take to receive nofication that your glasses and/or contact lenses had arrived. 1-5 days

6-10 days

10-15 days

longer...

Were you notified it would take longer because of, for example, anti-reflective coating?

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5. Using the 1 to 5 scale again, this time with 5 representing "Excellent----couldn't have been better", all the way down to one which represents "Very poor", how would you rate your overall purchasing experience?

Using the 1 to 5 scale again, this time with 5 representing "Excellent----couldn't have been better", all the way down to one which represents "Very poor", how would you rate your overall purchasing experience? 1

2

3

4

5

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6. Finally, is there anything that would have or could have increased your satisfaction level? In other words, is there anything they could have done to have made your experience better?

Finally, is there anything that would have or could have increased your satisfaction level? In other words, is there anything they could have done to have made your experience better? Yes

No

What could have enhanced your overall experience?

7. To be eligible for a $50 prize, please provide the following information. Elibility requirements: 18 years of age, optical purchase within 30 days of survey submisson, limit of one per 12 mo period, limit of one per location per 12 mo period.

To be eligible for a $50 prize, please provide the following information. Elibility requirements: 18 years of age, optical purchase within 30 days of survey submisson, limit of one per 12 mo period, limit of one per location per 12 mo period. Name:
City/Town:
State:
Email Address:
Phone Number:

Optical Shop Survey
Exit this survey

1. Default Section

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1. How satisfied are you with your new glasses and/or contact lenses?

*
2. Thinking back to your visit to the optical shop, were you greeted promptly when you walked into the optical area?

*
3. Using a 1 to 5 scale with 5 which represents "They could not have been any more helpful", down to one representing "No help at all", please rate the personal assistance and helpfulness you received.

*
4. From the date of your order, how long did it take to receive nofication that your glasses and/or contact lenses had arrived.

*
5. Using the 1 to 5 scale again, this time with 5 representing "Excellent----couldn't have been better", all the way down to one which represents "Very poor", how would you rate your overall purchasing experience?

*
6. Finally, is there anything that would have or could have increased your satisfaction level? In other words, is there anything they could have done to have made your experience better?

7. To be eligible for a $50 prize, please provide the following information. Elibility requirements: 18 years of age, optical purchase within 30 days of survey submisson, limit of one per 12 mo period, limit of one per location per 12 mo period.

Optical Shop SurveyExit this survey

1. Default Section

*1. How satisfied are you with your new glasses and/or contact lenses?

*2. Thinking back to your visit to the optical shop, were you greeted promptly when you walked into the optical area?

*3. Using a 1 to 5 scale with 5 which represents "They could not have been any more helpful", down to one representing "No help at all", please rate the personal assistance and helpfulness you received.

*4. From the date of your order, how long did it take to receive nofication that your glasses and/or contact lenses had arrived.

*5. Using the 1 to 5 scale again, this time with 5 representing "Excellent----couldn't have been better", all the way down to one which represents "Very poor", how would you rate your overall purchasing experience?

*6. Finally, is there anything that would have or could have increased your satisfaction level? In other words, is there anything they could have done to have made your experience better?

7. To be eligible for a $50 prize, please provide the following information. Elibility requirements: 18 years of age, optical purchase within 30 days of survey submisson, limit of one per 12 mo period, limit of one per location per 12 mo period.

Optical Shop Survey
Exit this survey

*
1. How satisfied are you with your new glasses and/or contact lenses?

*
2. Thinking back to your visit to the optical shop, were you greeted promptly when you walked into the optical area?

*
3. Using a 1 to 5 scale with 5 which represents "They could not have been any more helpful", down to one representing "No help at all", please rate the personal assistance and helpfulness you received.

*
4. From the date of your order, how long did it take to receive nofication that your glasses and/or contact lenses had arrived.

*
5. Using the 1 to 5 scale again, this time with 5 representing "Excellent----couldn't have been better", all the way down to one which represents "Very poor", how would you rate your overall purchasing experience?

*
6. Finally, is there anything that would have or could have increased your satisfaction level? In other words, is there anything they could have done to have made your experience better?