*
indicates that an answer is required
1.
Practice information
*
Practice name
Account Number
Zip Code
*
Lab Name
[Select an answer]
21st Century
AccuRx
ACO
Advance Optical
Aspen Optical
Barnett-Ramel
Beitler-McKee Optical
Collard-Rose
Deschutes Optical
Dunlaw Optical
Empire Optical
Epic Labs
Eye Care Express
Focus Optical
Future Optics (TN)
GK Optical (Ft. Wayne, IN)
Gold
Gulf States Optical
Homer Optical (MD)
Homer Optical (PA)
Homer Optical (VA)
Interstate Optical
Jorgenson Optical
McLeod Optical
Midland Optical
NEA (Northeast Optical)
Omni Optical
Opti-Matrix Lab
Optical One
Optical Suppliers (Aiea)
Ozarks Optical
Pech Optical
Peninsula Optical Lab
Perferx
Precision (CT)
Precision (TN)
Premier Optics
Reliable Optical
Select Optical
Southwest Lens
Spectrum
Sunstar Optical (Las Vegas)
Sunstar Optical (Reno)
Sunstar Optical (Salt Lake)
Sutherlin
Tri-Supreme
Truckee Meadows Optical
Vision Craft
Vision Pointe
Winchester
Sales Consultant
[Select an answer]
Other
Adams, Wayne
Arnold, Tom
Atwood, Linda
Baker, Joel
Ball, Teresa
Bantle, Karen
Bennett, Tracie
Bevins, Sandy
Bochter, Gracanne
Breneiser, Kelly
Brooks, Jan
Bubenicek, Courtney
Burke, Gary
Butz, Deb
Cabral, Candice
Campbell, Dottie
Charlton, Kimberly
Chesebro, Barry
Clark, Mary
Clemons, Kevin J.
Davis, David
Deutchman, Jesse
Deutsch, Sandy
Dickerson, Melissa
Downin, Mike
Driscoll, Dave
Duffy, Joe
Edmundson, Bob
Edwards, Jim
Elstad, Ken
Engel, Janine
Falk, Gary
Farnsworth, Bonnie
Federico, Frank
Ferguson, Sharon
Fields, Kristi
Fike, Mark
Fitch, Barry
Flanagan, Lisa
Gallo-Cicirello, Pam
Gray, Reade
Gross-Edelman, Kathy
Halverson, Dave
Han, Steve
Harmon, Lisa
Harvey, Jonathan
Hawes, Bob
Hill, Melissa
Hooper, Rhonda
Hull, Aaron
Hunn, Mike
Hutchinson, George
Jobe, Mike
Johnson, Tina
Joller-Rutz, Sandra
Kerr, Scott
Kite, Bob
Kitzerow, Scott
Knight, David
Koury, David
Laflamme, Chuck
Lang, Debra
Lardie, Robin
Lauffer, Clarke
Levis, John
Lookabill, Rusty
Lundstrom, Matt
MacLeod, Rod N
Martin, Thomas
Matthews, Laurie
Maxwell, Lisa
Mazzei, Megan
McCully, Michele
McLeod, Rod O
Melton, Aaron
Miller, Carol
Miller, Paul
Mitchell, Kara
Moran, Diane
Morrison, Jill
Morrone, Mike
Motley, Scott
Nelan, Susan
Ng, Geoff
Olson, Mark
Poppett, Steven
Rauhauser, Amy
Reily, Christina
Ruiz, Amelia
Sakaino, Kelley
Shell, Jon
Simon, Jon
Sims, Bill
Skelton, Catherine
Slack, Chris
Slingluff, Terry
Speer, Brad
St. Clair, Patrick
Stevens, Mark
Stewart, Terry
Stotz, Karen
Strenk, Scott
Trobaugh, George
Ullrich, Debora
Vail, Jennifer
Vanderwalker, Simone
VanNoy, Jim
Wentworth, Larry
Wheeler, Nicole
Wilson, Graham
Woodrow, Bill
Yellin, Larry
Yvon, Derek
Yvon, Matthew
Zammiello, Dean
2.
Please rank our lab from 1 to 10 with 1 being very dissatisfied and 10 being very satisfied
1
2
3
4
5
6
7
8
9
10
*
Overall Satisfaction
*
Optical Quality (correct prescription, order specs)
*
Cosmetic Quality
*
Customer Service (knowledgeable, friendly)
*
Lab Communication (notice of late jobs, alternative solutions offered)
*
Acctg/Billing (accuracy, ease of payment, credit processing)
*
Interaction with Sales Consultants
*
Turnaround Time
3.
What would make us exceptional in the following categories?
Overall Satisfaction
Optical Quality
Cosmetic Quality
Customer Service
Lab Communication
Acctg/Billing
Sales
Turn-time
4.
How likely is it that you would recommend us to a colleague or friend?
1 being least likely to 10 being highly likely
1
2
3
4
5
6
7
8
9
10
*
How likely is it you would recommend us?
5.
What is the primary reason for your answer to question #4?
6.
Based on your experience with our lab, are you more likely to?
Reduce
Maintain
Increase your business
7.
We appreciate your feedback. Please provide any additional comments/suggestions.
Comments