* 1. How responsive have we been to your questions or concerns about our services?

* 2. How would you rate the quality of care from the doctor?

* 3. What is your preferred time for appointments?

* 4. How likely is it that you would recommend Exchange Place Eye Associates to a friend or colleague?

Not at all likely
Extremely likely

* 5. Please feel free to comment on your experience or how we can best improve our service:

* 6. Please leave your name should you wish to be contacted concerning your experience: