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Customer Satisfaction Survey

Home » Customer Satisfaction Survey

Dear Customer:

As the owner of Whitby Eye Care, I want to thank you for giving us the opportunity to serve you. Please help us serve you better by taking a couple of minutes to tell us about the service that you have received so far. We appreciate your business and want to make sure we meet your expectations.

Sincerely,
Dr. R. Fernando
Owner

For your last appointment with Whitby Eye Care, how did you contact us?
Phone*
Email
Website
In Person
Other:


Was Whitby Eye Care able to provide the appointment date and time you requested?
Yes
No
Comments:


Did our staff greet you when you arrived at our office?
Yes
No
Comments:


How long did you have to wait for your appointment upon arrival?
Less then 5 minutes
5-10 minutes
10 minutes or more
Comments:


Which staff member helped you during your visit?

Was our staff courteous and professional during your appointment?
Yes
No
Comments:


Which doctor did you see during your visit?

Were all your concerns addressed?
Yes
No
Comments:


Did you purchase Eye Glasses or Contact Lenses following your appointment?
Yes
No

(If Yes) After your purchase, how long did it take to recieve your order?
Less then 1 week
1-2 Weeks
2 weeks or more

Did Whitby Eye Care have sufficient selection of eye glasses and contact lenses?
Poor Selection
Good Selection
Great Selection

Would you recommend Whitby Eye Care to friends and family?
Yes
No
Comments:


Please provide your personal information if you would like us to follow up with your regarding your survey response. We value your privacy. Your personal information will not be shared with any third party company.


Title: 
First name*:
Last name*:
Telephone:
E-mail*
(for confirmation email only, will not be given to a third party)
General Comments & Feedback:
Would you be interested in being kept informed of clinic promotions, offers or updates? Yes No


Thank you for your feedback. We sincerely appreciate your honest opinion and will take your input into consideration while providing products and services in the future.

If you have any comments or concerns about this survey please contact us at dr.r.fernando@gmail.com



*Enter code:
 
locationLocation

Mailing Address:4091 Thickson Rd. N, Unit 2 Whitby , Ontario L1R 2X3 Telephone: Phone: (905)655-6236.Email: dr.r.fernando@gmail.com

 

locationHours of Operation:

Monday: 9:20 am - 7:00 pm
Tuesday: 9:20 am - 7:00 pm
Wednesday: 9:20 am - 7:00 pm
Thursday: 9:20 am - 7:00 pm
Friday: 10:00 am - 5:00 pm
Saturday: 9:00 am - 4:00 pm
Sunday: 9:00 am - 2:00 pm


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