South Hills

Family Eye Care

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Survey      
Our goal is to take care all of your eye care needs and exceed your expectations.  Please let us know how we measure up so we can continue to improve. 

What is your name or patient number? (This is required if you want to receive 'credit' for participating in this survey.)
Was our staff courteous and helpful?


Were you seen in a timely manner?

Did Dr. Peirce talk with you enough to fully understand your eye health and visual needs?



Was your examination thorough?


Were you satisfied with the explanation of your visual conditions and treatment options?



If fit with contact lenses or glasses, did the service and quality meetyour expectations?


If you were fit for a new pair of glasses, were you told of the significant discounts we offer on your second pair?



If you were fit for contact lenses, were you made aware of the significant discounts and free mailing to your home when you purchase an annual supply?



Were you told of the patient referral program? (Your account will be credited $15 for referrals of friends or family from a different household)


Would you refer a friend or family member to our office for eye care?



How would you rate your overall satisfaction with our office?




What would you like to see us improve or do differently?
If we met or exceeded your expectations, please tell us about it here.

Please contact us at (801) 572-9804 or through our online form if you would like to speak to Dr. Peirce or Amy (our Office Manager) directly.