Barrhaven Optometric
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Book an Appointment
Order Contact Lenses
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Get in Touch
About US
Our Doctors
Our Team
Our Story
Careers
Eye Care
Our Services
Contact Lenses
Specialized Technology
Eyewear
Blog
Home
/
I want to...
/
Book an Appointment
Order Contact Lenses
Give Feedback
Get in Touch
About US
/
Our Doctors
Our Team
Our Story
Careers
Eye Care
/
Our Services
Contact Lenses
Specialized Technology
Eyewear
/
Blog
/
Give Feedback
Home
/
I want to...
/
Book an Appointment
Order Contact Lenses
Give Feedback
Get in Touch
About US
/
Our Doctors
Our Team
Our Story
Careers
Eye Care
/
Our Services
Contact Lenses
Specialized Technology
Eyewear
/
Blog
/
How did you hear about our office?
Referral
Walking or Driving by
Family/Friend
Social Media
School
Yellow Pages
Other
Which of our doctors did you see?
Dr. Scott McIntosh
Dr. Lora Lee Hardy
Dr. Trevor Graham
Dr. Gordon Young
Dr. Lucie Berthiaume
Dr. Rosanna Rivard
Dr. Patrick Monaghan
Dr. Alex Martyres
Dr. Élise Berthiaume
Did you feel the communications prior to your appointment kept you well informed of your appointment time and date?
Did you feel the communications prior to your appointment kept you well informed of your appointment time and date?
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Comment:
Were the staff courteous and helpful?
Were the staff courteous and helpful?
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Comment:
Were you seen in a timely manner?
Yes
No
Comment:
Did you feel your exam was thorough?
Did you feel your exam was thorough?
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Comment:
Were you satisfied with how your visual condition and treatment options were explained?
Were you satisfied with how your visual condition and treatment options were explained?
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Comment:
Do you plan returning for your next exam?
Yes
No
Comment:
How would you rate our product selection range?
Great
Good
Fair
Poor
N/A
Comment:
How would you rate your satisfaction with your eyewear?
Great
Good
Fair
Poor
N/A
Comment:
How would you rate your satisfaction with your contact lens services and contact lenses?
Great
Good
Fair
Poor
N/A
Comment:
How did the product prices compare to your expectations?
Prices were much lower than I expected
Prices were about about the same as I expected
Priced were a bit higher than I expected
Do you have additional comments regarding our products?
How would you rate your overall quality of care?
Great
Good
Fair
Poor
N/A
Would you recommend Barrhaven Optometric to others?
Yes
No
The Practice receives this user-submitted information and our staff uses it to help provide you with the service requests you may have, we may also archive it indefinitely.
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Thank you!