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Eye Gallery Patient Satisfaction Survey

Hello,

Please take a few minutes of your time to fill in the following survey.

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Eye Gallery Customer Survey
1

Where did you first hear about our optometry services?

2

How did you book your professional eye appointment?

3

Did you have any problems booking your appointment?

4

How would you rate your examination overall?

5

Do you prefer to wear Contact Lenses or Spectacles?

6

How would you rate your overall experience with us?

Please rate the following points on a scale from 1 to 5, 1 - Excellent, 5 - Very poor
7

Would you recommend us to a friend or colleague?

8

Please confirm your gender:

9

Please confirm your age:

10

Please tell us how you would like us to improve: