Satisfaction Survey

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Please take a few moments and let us know what you thought of your last visit.

Provider
Location
Doctor
Service Ratings
 
Great
Good
Fair
Poor
N/A
Communication prior to appointment
Appointment availability
Waiting room time
Fees
Quality of care from staff
Quality of care from doctor
Concerns or questions answered
Overall quality of care
Scheduling
Preferred day for appointments
Preferred time for appointments
Do you plan on returning for your next comprehensive examination? Yes
No

For no, please tell us why not
Would you schedule appointments online? Yes
No
Products
 
Great
Good
Fair
Poor
N/A
Satisfaction with eyeglasses
Satisfaction with contact lenses
Range of eyeglasses selection
Identification (Optional)
Why did you choose us for your eye health care?
Your name (optional)
Additional comments
 
 
 
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Locate Us

Brantford Location

130 Charing Cross Street
Brantford ON N3R 2J1
Phone: (519) 756-6173

Emergency Contact:
During business hours, please speak with one of our team members by calling or coming into our office so that we may assist you.

Outside of business hours, please go directly to the Emergency department at the nearest hospital.

Paris Location

139 Grand River St. North
Paris ON N3L 2M4
Phone: (519) 442-2411

Emergency Contact:
During business hours, please speak with one of our team members by calling or coming into our office so that we may assist you.

Outside of business hours, please go directly to the Emergency department at the nearest hospital.