It is our desire to provide you with excellent customer service. Would you please take 60 seconds to fill out these questions to let us know how we are doing?

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How would you rate your experience with the following departments in our office?  (On a scale with 1=Poor to 10=Excellent, please rate the below departments) *
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Front Desk/Check-In
Clinic (Doctors and Technicians)
Optical/Contacts
Check Out
Did we exceed all of your
    expectations today? *