Satisfaction/Feedback Survey

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Please take a few moments and let us know what you thought of your last visit...

Provider
Location
Doctor
Service Ratings
 
Great
Good
Fair
Poor
N/A
Communication prior to 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
Scheduling
Preferred day for appointments
Preferred time for appointments
Do you plan on returning for your next comprehensive examination? Yes
No

For no, please tell us why not
Would you schedule appointments online? Yes
No
Products
 
Great
Good
Fair
Poor
N/A
Satisfaction with eyeglasses
Satisfaction with contact lenses
Range of eyeglasses selection
Identification (Optional)
Why did you choose us for your eye health care?
Your name (optional)
Additional comments
 
 
 
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Locations & Hours

Scotts Valley

255-D Mt Hermon Rd.
Scotts Valley CA 95066
Phone: (831) 438-5526
Fax: (831) 438-8643

Emergency Contact:

In case of emergency, please phone our office at the number listed above and follow the instructions. Doctor's emergency number:  (831) 332-8832.

Capitola

2121-41st Ave., Ste. 108
Capitola CA 95010
Phone: (831) 476-7744
Fax: (831) 464-1515

Emergency Contact:
In case of emergency, please phone our office at the number listed above and follow the instructions.  Doctor's emergency number:  (831) 332-8832.