1575 B Street, Hayward, CA 94541 | 510-581-1430 |
Email Us
Optometrist in Hayward, CA
About Us
Services
Medical Services
Optical Department
Facilities and Equipment
Patient Center
Testimonials
Contact Us
Patient Satisfaction Survey
Email
*
Wait Time
*
5 - Extremely Satisfied
4 - Satisfied
3 - Neutral
2 - Dissatisfied
1 - Extremely Dissatisfied
0 - Not Applicable
Office Appearance
*
5 - Extremely Satisfied
4 - Satisfied
3 - Neutral
2 - Dissatisfied
1 - Extremely Dissatisfied
0 - Not Applicable
Front Office Staff
*
5 - Extremely Satisfied
4 - Satisfied
3 - Neutral
2 - Dissatisfied
1 - Extremely Dissatisfied
0 - Not Applicable
Name of Front Staff Personnel
Doctor
*
5 - Extremely Satisfied
4 - Satisfied
3 - Neutral
2 - Dissatisfied
1 - Extremely Dissatisfied
0 - Not Applicable
Name of Your Doctor
Contact Lens Technician
*
5 - Extremely Satisfied
4 - Satisfied
3 - Neutral
2 - Dissatisfied
1 - Extremely Dissatisfied
0 - Not Applicable
Name of Your Contact Lens Technician
Optician
*
5 - Extremely Satisfied
4 - Satisfied
3 - Neutral
2 - Dissatisfied
1 - Extremely Dissatisfied
0 - Not Applicable
Name of Your Optician
Eyewear Selection
*
5 - Extremely Satisfied
4 - Satisfied
3 - Neutral
2 - Dissatisfied
1 - Extremely Dissatisfied
0 - Not Applicable
Overall Experience
*
5 - Extremely Satisfied
4 - Satisfied
3 - Neutral
2 - Dissatisfied
1 - Extremely Dissatisfied
0 - Not Applicable
We appreciate any comments or testimonials
Do we have permission to use your feedback as a testimonial for marketing purposes?
*
Yes
No
Thank you for completing this survey
If you would like to remain anonymous, you do not have to fill out the below information. If you provide the below information, our office would greatly appreciate it.
Name
Address
Street Address
Address Line 2
City
ZIP Code
Office Hours
Mon
day
Closed
Tues
day
8:00am
5:30pm
Wed
nesday
8:00am
6:30pm
Thurs
day
8:00am
6:30pm
Fri
day
8:00am
5:30pm
Sat
urday*
8:00am
5:00pm
Sun
day
Closed
*Closed for lunch from 12pm - 1pm
Due to COVID-19 and CDC recommendations, we have made changes in our office.
Click here for more info!