Have you recently visited Community Eye Associates? Use this form to rate our products and services. We look forward to reading your responses.
 

Services
 

 

Communication prior to your appointment:

  Appointment availability:

 

Waiting room time:

 

Fees:

 

Quality of care from staff:
  Quality of care from doctor:

 

Concerns or questions answered:

 

Overall quality of care:

 

Any suggestions for improvement?


Products
 

 

Satisfaction with eyeglasses:

 

Satisfaction with contact lenses:

 

Range of eyeglasses selection:

 

Range of sunglasses selection:


Scheduling
 

 

Wait time for an appointment:

 

Appointment close to the time desired:


Website
 

 

Appearance:

 

Ease of use:

 

Information:

 

Forms:
  Please make any suggestions you may have about our website:


General Information
 

 

Your name (OPTIONAL):

 

Why did you choose us for your eye health care?

 

Can we thank anyone for referring you to us?

 

Do you plan on returning for your next comprehensive examination?

 

For no, would you please tell us why not?
  Any additional comments?


Home  l  About The Practice  l  Meet The Doctors  l  Services  l  FAQ's  l  Insurance  l  Our Staff  l  Location Map  l  Contact Us

Patient Zone:
New Patients  l  Existing Patients
What's New  l  Resource Links  l  Request Appointment  l  Medical History Form  l  Satisfaction Survey
 

Community Eye Associates - site created and maintained by WebMarketsInc