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1. Name

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2. Which Dr. Tavel store did you visit?

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3. Email Address

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4. Phone Number

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5. What specifically brought you into Dr. Tavel's office this year? Multiple responses accepted.

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6. How would you rate your experience with your optometrist at Dr. Tavel Family Eye Care?

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7. What did you think of the frame selection?

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8. How would you rate the customer service you received? Did the Dr. Tavel staff make you feel welcome and answer all of your questions?

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9. Briefly describe your overall experience at Dr. Tavel Family Eye Care based on your answers above.

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10. How can we make your next experience better?