210 Westminster St. Providence, RI 02903 USA | 401.351.4994
Home
About
Eyewear
Sales
Exams
COVID - 19
FAQ
Blog
Press
FAQ
Contact
OPTICAL SURVEY
Thank you in advance for your feedback. It will help us be more effective at staying connected with you and where we can improve to best serve you in the future.
Name (Leave blank if you prefer to stay anonymous)
*
First
Last
[object Object]
Email (Leave blank if you prefer to stay anonymous)
*
1. How close are you to Providence Optical?
*
Walk
Drive
RIPTA
Only in mind & spirit, not body
2. You’ll likely see me again:
*
One to three months
Four to six months
About a year
Never or very far in a future
3. Please tell us what you’d like to hear about:
*
New lines of eyewear brands, concepts and ideas
Special offers
More availability for eye exams ( early morning or late night appointments)
Are you interested in our private vision plan (VCA) ?
Mobile eye exams for me, my family and my company
Telehealth
Mobile Health (mHealth)
Other
If Other Please Specify:
*
4. If you may or left our practice, please rate the below:
Unsatisfied with service
*
Low
Medium
High
Parking
*
Low
Medium
High
Technical skills
*
Low
Medium
High
Cost
*
Low
Medium
High
Unfriendly Staff
*
Low
Medium
High
Difficulty Shopping
*
Low
Medium
High
5. How many people have you referred to PO ?
*
0
1-3
4 or more
Will consider to refer
There is no way I would refer
Comments
*
Submit
