Seabert Eye Care Patient Survey
Name (optional)
Email Address (optional)
Please answer the questions below using a scale from 1-5, 5 being best.
(
1
-awful
2
-poor
3
-average
4
-good
5
-excellent
N/A
-not applicable)
How would you rate the service of the optical/ office staff?
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5
N/A
How would you rate the quality of your eye exam?
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4
5
N/A
How would you rate the care you received from Dr. Seabert?
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3
4
5
N/A
How would you rate our frame selection?
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4
5
N/A
How would you rate the quality of eyewear you purchased?
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5
N/A
How would you rate your overall experience in our office?
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5
N/A
Please list any additional comments below.
We value your feedback very much. Thank you for taking the time to fill out this survey.
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