Satisfaction Survey

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

Provider
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

Port Moody Optometry Clinic

260 - 221 Ioco Road
Port Moody BC V3H 4H2
Phone: (604) 469-8428
Fax: (604) 461-6352
Emergency Contact:

In case of after-hour emergency, please go to the emergency room of the nearest hospital.