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Patient Survey
Based on your most recent experience, how likely are you to recommend us to a friend or colleague?
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1 - Not at all likely
2
3
4
5 - Extremely likely
How do you rate your experience with our staff in the office during your visit?
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1 - Unsatisfied
2
3
4
5 - Very satisfied
How was your wait time to see the doctor?
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1 - Poor
2
3
4
5 - Excellent
How satisfied are you with your doctor?
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1 - Unsatisfied
2
3
4
5 - Very satisfied
How well did your doctor explain your exam findings?
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1 - Poor
2
3
4
5 - Excellent
Overall, how satisfied are you with the selection of eyeglass frames?
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1 - Unsatisfied
2
3
4
5 - Very satisfied
Does not apply
How would you rate the staff on assisting you in your frame and/or contact selection?
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1 - Poor
2
3
4
5 - Excellent
Does not apply
Overall, how satisfied are you are with eyecarecenter?
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1 - Unsatisfied
2
3
4
5 - Very satisfied
Any other comments? Please let us know what you liked or would improve upon:
How many years since your previous exam?
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1 year
2-3 years
4-5 years
5+ years
First eye exam
Office
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Boone
Cary Barnes & Noble Plaza
Cary Crossroads Blvd.
Chapel Hill
Charlotte Carmel Rd
Charlotte South Boulevard
Clayton
Concord
Dobson
Durham Consultant Place
Elizabeth City
Fayetteville
Garner
High Point
Indian Trail
Jacksonville
Jacksonville North
Kernersville
Laurinburg
Lumberton
Monroe
New Bern
North Wilkesboro
Raleigh Crabtree
Raleigh Downtown - Fayetteville St
Roanoke Rapids
Rocky Mount Sunset
Rocky Mount Tiffany
Sanford
Smithfield
Swansboro
University City
Wake Forest
Walkertown
Wilmington
Wilson
Winston Salem Downtown
Winston Salem Peters Creek
Winston Salem Stratford
Doctor Name
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I don't know
Rick Adams, O.D.
Allan Adkins, O.D.
Tom Akers, O.D.
Rabia Ali, O.D.
Teri Anderson, O.D.
Carol Aune, O.D.
Richard Ayuso, O.D.
Alison Bailey, O.D.
Matt Bailey, O.D.
Charles Balch, O.D.
Michael Baldinger, O.D.
Sharon Barber, O.D.
Michael Baughan, O.D.
Scott Bedsole, O.D.
Holly Adams Bennett, O.D.
Thomas Blackburn, O.D.
Robert Branch, O.D.
David Braswell, O.D.
J. Michael Burke, O.D.
Keitha Covalla, O.D.
Hilary Cox, O.D.
Matthew Cox, O.D.
Melissa Cuan, O.D.
Darren C. Decker, O.D.
Maria Dickerson, O.D.
Patrick Dooley, O.D.
Leslie Dunn, O.D.
Shirin Esmail, O.D.
Bonnie Fanelli, O.D.
Greg Forsyth, O.D.
David Freeman, O.D.
Rex Freeman, O.D.
Keel Godwin, O.D.
Robert Gotschalk, O.D.
Kenneth Gregg, O.D.
Tyler Groce, O.D.
Marguerite Gross-Reid, O.D.
Scott Haire, O.D.
Jamie Hanna, O.D.
Paul Hayes, O.D.
David Hoyle, O.D.
Danielle Jordan, O.D.
Nirvighna N. Kanjiya, O.D.
Duy Lam, O.D.
Andrew Loudon, O.D.
Angela MacDonald, O.D.
Kathryn Manton, O.D.
Shemeeka McFadden, O.D.
Delisha Moore, O.D.
Paul Wayne Moser, O.D.
Daniel O'Dowd, O.D.
Jessica O'Neil O.D.
Perry Patel, O.D.
Sita Patel, O.D.
Mark Phebus, O.D.
Kelly Reid, O.D.
Nick Reid, O.D.
Zophia Rendon, O.D.
James Reynolds, O.D.
Frank E. Roofe, III, O.D. P.A.
Cynthia Rohm, O.D.
Mark Salopek, O.D.
Tina Siegel, O.D.
Heather Smith, O.D.
Timothy Stafford, O.D.
Pat Stanford-Adams, O.D.
Greg Stockbridge, O.D.
Craig Swaim, O.D.
Van Teague, O.D.
Carrie Turley, O.D.
Rachel Vick, O.D.
Chonda Washington, O.D.
Carrie Weaver, O.D.
David Weitz, O.D.
David Wenz, O.D.
Katherine S. White, O.D.
Natalie R. Wieand, O.D.
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