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Patient Survey
Based on your most recent experience, how likely are you to recommend us to a friend or colleague?
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1 - Not at all likely
2
3
4
5 - Extremely likely
How do you rate your experience with our staff in the office during your visit?
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1 - Unsatisfied
2
3
4
5 - Very satisfied
How was your wait time to see the doctor?
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1 - Poor
2
3
4
5 - Excellent
How well did your doctor explain your exam findings?
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1 - Poor
2
3
4
5 - Excellent
How satisfied are you with your doctor?
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1 - Unsatisfied
2
3
4
5 - Very satisfied
How would you rate the staff on assisting you in your frame and/or contact selection?
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1 - Poor
2
3
4
5 - Excellent
Does not apply
Overall, how satisfied are you with the selection of eyeglass frames?
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1 - Unsatisfied
2
3
4
5 - Very satisfied
Does not apply
Overall, how satisfied are you are with Eyecare Associates?
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1 - Unsatisfied
2
3
4
5 - Very satisfied
Any other comments? Please let us know what you liked or would improve upon:
Office
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- Please select -
Albertville
Arab
Bay Minette
Cahaba
Center Point
Clanton
Decatur
Enterprise
Greystone
Homewood
Hoover
Hueytown
Hughes Road
Huntsville East
Huntsville Valley
Huntsville West
Luverne
Madison
Mobile
Moody
Montgomery
Northport
Ozark
Prattville
Scottsboro
Southside
Springhill
Trussville
Troy
Tuscaloosa
Warrior
Valleydale
Doctor Name
*
- Please select -
I don't know
Jennifer Lee Alverson, O.D.
Faye Andrews, O.D.
Johnnie Barnes, O.D.
Andy Belknap, O.D.
Rose M. Betz, O.D.
Jessica Boyd, O.D.
Casey M. Brown, O.D.
Emma Budraitis, O.D.
Michael J. Carboni, O.D.
Jimmie Jean Corley, O.D.
Allen Dunn, O.D.
Zackary Elkins, O.D.
Clyde G. Echols, O.D.
Betsy S. Farris, O.D.
Michael Freeman, O.D.
Drew Gann, O.D.
A. Teresa Glass, O.D.
Murray Glusman, O.D.
Merin Graves, O.D.
David Hamlin, O.D.
Lynn S. Hammonds, O.D.
Benjamin Harris, O.D.
Jeffrey D. Hill, O.D.
Victoria H. Hines, O.D.
Gregory A. Hively, O.D
Fredrick Jackson, O.D.
Sunita Jagani, O.D.
Norman C. Johnson, O.D.
April Player Jones, O.D.
Sheila Kirk, O.D.
Michael M. Kwarcinski, O.D.
David A. Lee, O.D.
Wesley Lewis, O.D.
Whitney Lowe, O.D.
William G. McInnish, O.D.
Lori A. McStoots, O.D.
Chrissy Manning, O.D.
Anne Garrison Meighen, O.D.
Mary Kate Moring, O.D.
Kenneth R. Moultrie, O.D.
Lawrence N. Nicastro, O.D.
Benjamin Pendergrass, O.D.
Samara Perryman, O.D.
Dale Potter, O.D.
Patrick A. Rossi, O.D.
Bonnie-Kim Schwertz, O.D.
Gina Scott, O.D.
James E. Skoney, O.D.
Justin Smith, O.D.
Kimberly Stroup, O.D.
Kristin S. Sullins, O.D.
William H. Sullins, O.D.
Karen S. Vanoy, O.D.
Tammy Wallace, O.D.
John A. Walters, O.D.
Mary Tally Watson, O.D.
Christine D. White, O.D.
Kenneth R. Winton, O.D.
Carrie E. Wolfe, O.D.
Yancy Carl York, O.D.
Doctor wasn't listed
How many years since your previous exam?
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1 year
2-3 years
4-5 years
5+ years
First eye exam
How did you hear about us? (Select all that apply.)
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First Name
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