Patient Care Evaluation Form

Eye Care Evaluation

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










Was our staff courteous and helpful?



Were you seen in a timely manner?



Was your examination thorough?



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



Did our contact lens/eyeglasses service & quality meet your expectations?



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



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



OTHER INFORMATION

– You may elaborate on any information below, and/or in the office




Our Services

Testimonial

“I needed an eye exam and cheap glasses frames but I didnt like the last place I went in pompano. researched eye doctors in fort lauderdale and discount eyeglasses stores and found World Eyeglasses. Best discount eye glasses frames and cheap eye exams. Everyone there is nice and it was fast too.”
Brittnie Chavez