Patient Satisfaction Survey

Dear Enrollee:
I wish to thank you for selecting Sterling VisionCare as your eye care provider. We are continually evaluating and improving our services and rely on our enrollees to give us constructive feed-back pertaining to their eye examination experience.

We would appreciate it if you would complete the questionnaire below.

Your comments will make a difference.
Thank you.
Nicholas Shashati, O.D President

(PLEASE NOTE: This questionnaire is for your eye examination only. If you have a comment on your eyeglasses or contact lenses and would like to be contacted, please check this box. )

Patient Satisfaction Survey