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Client Satisfaction Survey

Thank you for choosing Dumalo Optometry for your eye care needs! Our mission is to combine professional eye care with a customer-centered experience. Your satisfaction is important to us and your feedback will help us in our continuing efforts to deliver exceptional quality care.

The survey below will take approximately 5 minutes to complete. If you choose to leave your name and contact information, you will be entered in our monthly draw to win a $50.00 gift certificate*!

 

Please complete the form below

Name (Leave Blank to Remain Anonymous)
Name (Leave Blank to Remain Anonymous)
Phone (Leave Blank to Remain Anonymous)
Phone (Leave Blank to Remain Anonymous)
Was this your first visit to Dumalo Optometry? *
How did you hear about us? *
What best describes the reason behind your visit to Dumalo Optometry? *
Who was your appointment scheduled with? *
Will you be returning to Dumalo Optometry for your eye care needs? *
Will you be recommending Dumalo Optometry to your friends and family? *
Please indicate the best response to each statement below *
Please indicate the best response to each statement below
I had an easy time scheduling my visit
Office hours and appointment availability offerings were convenient
I found the clinic to be clean and comfortable
I was satisfied with the selection of glasses and eyewear
I was satisfied with the cost of products and services offered
I found the staff to be friendly and courteous
I was satisfied with the knowledge and assistance of the optometric technicians (staff who preform preliminary testing)
I was satisfied with the knowledge and assistance of the licensed opticians (staff who specialize in dispensing and fitting eye glasses)
I was satisfied with the promptness of which I was seen and/or assisted
I was satisfied with the thoroughness of care received and clarity of the doctor's explanations
We like to acknowledge when our staff go above and beyond the call of duty. Was there a staff member who made your experience particularly enjoyable? *
Do we have permission to use your feedback as testimonial? *
If applicable, do we have permission to contact you to discuss your feedback? *
 
 

*Gift certificates are not redeemable for cash.  Fees associated with professional services are excluded.