* 1. Was our staff courteous and helpful?

* 2. Did our doctor address the reasons for your visit?

* 3. Which doctor did you see?

* 4. Were you satisfied with the explanation of your vision conditions and treatment options?

* 5. Were you satisfied with the selection of eyewear?

* 6. If fit with glasses, did the service and quality meet your expectations?

* 7. Would you refer a family member or friend to our office for eye care or eyeglasses?

* 8. Why or why not?

* 9. If there was one thing you would suggest we could do to improve your experience at Look + See Eye Care, what would it be?

* 10. Thank you for completing our survey! Enter to win a $100 gift certificate by completing the information below.

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