Lentz Eye Care

Customer Survey

Please take a few moments and let us know what you thought of your last visit to Lentz Eye Care.

Provider

Location
Doctor

Service Ratings

 
Great
Good
Fair
Poor
N/A
Communication prior to appointment
Appointment availability
Waiting room time
Fees
Quality of care from staff
Quality of care from doctor
Concerns or questions answered
Overall quality of care

Scheduling

Preferred day for appointments
Preferred time for appointments
Do you plan on returning for your next comprehensive examination? Yes     No
For no, please tell us why not
Would you schedule appointments online? Yes     No

Products

 
Great
Good
Fair
Poor
N/A
Satisfaction with eyeglasses
Satisfaction with contact lenses
Range of eyeglasses selection

Identification (optional)

Why did you choose us for your eye health care?
Your name
Your email address
Additional comments

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