Patient Satisfaction Survey We love to hear from our patients! Please give us your feedback so we can keep improving our office to serve you better. Quality of Care from Our Staff Great Good Fair Poor N/A Quality of Care from Our Doctors Great Good Fair Poor N/A Satisfaction with our variety of eyeglass selections. Great Good Fair Poor N/A Satisfaction with your eyeglass purchase. Great Good Fair Poor N/A Satisfaction with your contact lenses. Extremely Satisfied Satisfied Dissatisfied N/A Will you return to White Rock Optometry Clinic for your: eye health (exam) to purchase glasses/contact lenses both neither What is your overall rating of our office on a scale from 1(poor) to 10 (excellent)? 1 2 3 4 5 6 7 8 9 10 Do you have any suggestions on how we can improve our office? Is there anyone you would like to commend for a job well done? Please let us know!If you would like our clinic to contact you regarding your survey, please provide us with your name, phone number and/or email.CommentsThis field is for validation purposes and should be left unchanged.