Thank you for participating in our patient satisfaction survey! We believe that it is very important to receive feedback and in turn use that information to better assist our patients.

** If you would like someone from our office to contact you in regards to an issue or concern, please notate that in the 'Additional Information' section and someone will contact you promptly**

At the end of this survey, you will have the option of entering a Reward Contest for participating in this survey, however to enter we will need some contact information from you. You can enter for a chance to win a $50 Gift Certificate for our Optical shop at any of our locations. This information will ONLY be used for this purpose.

This contest will run until March 31st 2016. The winner will be selected and contacted by the information provided.

Again, we appreciate your participation and feedback.