Customer Satisfaction Survey We are always doing our best to improve and we carefully review all of the input we receive. Service RatingsCommunication prior to appointmentGreatGoodFairPoorN/AAppointment availabilityGreatGoodFairPoorN/AWaiting room timeGreatGoodFairPoorN/ACostsGreatGoodFairPoorN/AQuality of care from staffGreatGoodFairPoorN/AQuality of care from doctorGreatGoodFairPoorN/AConcerns or questions answeredGreatGoodFairPoorN/AOverall quality of careGreatGoodFairPoorN/ADo you plan on returning for your next comprehensive examination?YesNoPlease tell us why notSchedulingWould you be willing to answer a few questions about scheduling to help us provide an exceptional patient experience?*YesNoPreferred day for appointmentsSundayMondayTuesdayWednesdayThursdayFridaySaturdayNo preferencePreferred time for appointments7 am to 9 am9 am to 5 pm5 pm to 8 pm8 pm to 10 pmNo preferenceWould you schedule appointments online?YesNoPlease tell us why notProductsSatisfaction with eyeglassesGreatGoodFairPoorN/ASatisfaction with contact lensesGreatGoodFairPoorN/ARange of eyeglasses selectionGreatGoodToo FewToo ManyToo many of the same typeContacting YouLet us know if you would like us to contact you regarding your experience here at Mansfield TSO!Would you like to be contacted regarding your most recent experience in our office?*YesNoName* First Last How would you like to be contacted?* PhoneEmailEitherPhone*Email* Why did you choose us for your eye health care?Do you have any additional comments or feedback?Feel free to mention any staff members that helped you here! NameThis field is for validation purposes and should be left unchanged.