Customer Service Evaluation Form

Graves Ave. (408).253.3083 | Samaritan Ave. (408).358.2029 | Blossom Hill (408).227.7122 | Monterey Ave. (408).354.9510

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EVALUATE OUR SERVICES

Please take a few seconds to complete this evaluation. We greatly appreciate your feedback and will use this information to better serve your eye care needs.
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Spectrum Eye Laser Center is an integral part of a full spectrum ophthalmology group

ALL OPTICAL SERVICES

We offer complete and comprehensive services for medical treatment, contacts lenses, and eye glasses

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Customer Service Evaluation Form



Please take a few seconds to complete this evaluation. We greatly appreciate your feedback and will use this information to better serve your eye care needs
  1. Was our staff courteous and helpful?

  2. Were you seen in a timely manner?

  3. Was your examination thorough?

  4. Were you satisfied with your visual condition & treatment options explanations?

  5. Did our quality of Service/Expertise meet your expectations?

  6. Will you refer others to our office for their eye care?

  7. Please rate your overall satisfaction with our office.
    (5= exceeded expectations, 1= very dissatisfied)

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