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Your Opinion Matters!

Your Opinion Matters!DJ Helms2017-08-14T15:18:40-04:00

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You recently requested information regarding Lasik from CarlinVision. We would appreciate you letting us know how we are doing. It will only take a moment and your response will help us continue to improve patient care.
How did you hear about Lasik at CarlinVision?*
- Friend or Family
- Online
- I am a patient

Did you receive all of the Lasik information you wanted in a timely manner?*
- Yes
- No
What additional information can we send you?*

Did you come in to the office for a free Lasik evaluation?*
- Yes
- No
Please rate your experience during your Lasik evaluation.*
(Facilities, wait time, the evaluation process, etc.)
- Excellent
- Good
- Average
- Bad
- Terrible
How can we improve?

Did you decide to have Lasik at CarlinVision?*
- Yes
- No
- I have not yet decided.
Can you tell us why you did not choose CarlinVision?

If we offered the ability for you to text the Lasik department questions and set up a time for a free evaluation, would you use the service?*
- Yes
- No

If we offered a live chat service where you could ask questions about Lasik 24 hours a day, would you use the service?
- Yes
- No

Name*
First Last
Email*
Enter Email Confirm Email
Phone*
What is your preferred method of contact?*
- Call
- Text
- Email

Thank you for your feedback! We appreciate you taking the time to fill out the survey. Any suggestions are always welcome to help us improve our patient care

Please click `Submit Survey` below to complete the survey.
Email
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