Roberts Eyecare Associates Patient Survey

Please select the examination location. *
Please rate the following categories with 5 stars representing excellent and 1 star poor. *
Overall Satisfaction12345
Thorough Eye Health Examination12345
Sufficient Time with the Doctor12345
Treated in a Professional Manner12345
Office Staff Friendly and Knowledgeable12345
Office Appearance12345
Office Location12345
Office Hours12345
Obtained Timely Appointment12345
Waiting Time at Office12345
Frame and Lens Selection12345
Opticians (Adjust GLasses and Staff in Frame Room)12345
Would Recommend Practice to Friends and Relatives *
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The following information is optional.
Thank you for taking time to fill out this survey. Your responses will help us to provide you with better eye care.

When completed, please click on the SUBMIT button.

Dr. Roberts
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