Memorial Eye

                            Doctors of Optometry

Experts in EyeCare    
            



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Please Let Us Know How We May Improve Our Services To You

Thank you for choosing our office to provide you with your eye care needs. We strive to make your visit to our office a comfortable and knowledgeable experience.

Please take a few minutes to share your opinions of our office and staff so that we may continue to improve our care and service.

 
  Excellent Good Fair Poor
Courtesy / helpfulness of our staff:
Assistance with selecting the right
frame and lens for you:
Assistance and explanation with your
contact lens purchase:
Availability of products to meet your
custom eyecare needs:
How satisfied are you with your product
purchases:
Service time to receive your glasses:
Service time to receive your contact lenses:
Thoroughness of exam performed by our
Optometrist:
Overall experience with our office:

Additional Comments:
Location you visited:
Staff member that helped you:
Your Name:
Email Address: