Eyeglasses Satisfaction Survey Form
We value your feedback! Please take a few minutes to share your experience with your recent eyeglasses purchase and service.
How would you rate the overall quality of your eyeglasses?
*
1
2
3
4
5
How comfortable are your eyeglasses for daily wear?
*
Not comfortable
1
2
3
4
Extremely comfortable
5
1 is Not comfortable, 5 is Extremely comfortable
How satisfied are you with the style and appearance of your eyeglasses?
*
Very satisfied
Satisfied
Neutral
Dissatisfied
Very dissatisfied
Which features were most important to you when choosing your eyeglasses? (Select all that apply)
*
Lightweight
Durability
Lens quality
Frame style
Brand
Price
Other
How well do your new eyeglasses improve your vision?
*
Significantly improved
Somewhat improved
No change
Worse than before
How would you rate your experience with our staff during your visit?
*
1
2
3
4
5
How satisfied were you with the ordering and delivery process?
*
Not satisfied
1
2
3
4
Extremely satisfied
5
1 is Not satisfied, 5 is Extremely satisfied
Would you recommend our eyeglasses to others?
*
Definitely
Probably
Not sure
Probably not
Definitely not
What could we improve about our eyeglasses or service?
Any additional comments or feedback?
Submit
Should be Empty: