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Services
Lasik
Cataracts
Eyelid Surgery
Retina
Dimple Modi, M.D., M.P.H.
Diabetic Retinopathy and Treatment
Macular Degeneration
Floaters and Flashes
Dry Eyes
Optical Boutique
Contacts
Re-order Contacts
The Optical Boutique Survey
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The Optical Boutique Survey
The Optical Boutique Survey
DJ Helms
2019-04-26T10:42:58-04:00
Optical Survey
How would you rate your overall wait time for an optician?
*
Excellent
Good
Average
Poor
Very Poor
How long did you wait to speak with an Optician?
Which Optician(s) assisted you?
*
Troy
Scott
James
Michele
Miranda
Lisa
(Not Sure)
How would you rate the knowledge and friendliness of our Optical staff?
*
Excellent
Good
Average
Poor
Very Poor
How would you rate the quality of the product(s) you received?
*
Excellent
Good
Average
Poor
Very Poor
(Not Applicable)
How would you rate the turnaround time for your purchase?
*
Excellent
Good
Average
Poor
Very Poor
(Not Applicable)
Please rate your overall experience with The Optical Boutique.
*
Excellent
Good
Average
Poor
Very Poor
Would you recommend The Optical Boutique to your friends/family?
*
Yes
No
Tell Us More
If you had any issues or would like to provide more feedback on your experience, please use this space.
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