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Customer Service Questionnaire

Thank you for taking time to complete this questionnaire.
Please answer all that apply.

Office Location:	Dearborn New Center Livonia Eastpointe Madison Heights Taylor Mt. Clemens Clinton Valley 8mile-Dequindre Auburn Hills Farmington Hills                                                       Date of Service:
1.	Was this your first visit to Co/op Optical Vision Designs?
a. [Yes]	How did you hear about Co/op Optical Vision Designs?	Postcard Employer Friend/Family Event
		Other:
b. [No]	How long have you been one of our valued customers?	0-5+ years 5-10+ years 10+ years
2.	What type of service did you receive during your visit?
a. [Exam]	1. Do you consider the exam to be thorough and complete?	Yes No
	2. Did the doctor explain the results?	Yes No
	3. Were you satisfied with the doctor's examination?	Yes No
b. [Frame]	1. Were you satisfied with the selection?	Yes No
	2. Did you receive assistance  from a staff member when selecting your frame?	Yes No
	3. Do you prefer name brand or designer eyewear?	Yes No
c. [Lenses]	1. Were the various lens product options explained to you by a staff member or doctor?	Yes No
	In what amount of time do you feel you should receive your glasses once your custom order has been placed?	Same Day 2 days 4 days 7 days 2 weeks or more
d. [Contact Lenses]	1. What is your brand name or type?
	2. Did you receive instructions on the wearing and maintenance of your contact lenses?	Yes No
	3. Have you or would you purchase contact lenses online?	Yes No
e. [Repair]	1. Did you come in for a repair or replacement of an optical product?	Yes No
3.	Overall, was the quality of the product:	Very Satisfactory Satisfactory Not Satisfactory
4.	Have you priced other optical companies?	Yes No
5.	Were our prices reasonable and competitive?	Yes No
6.	Was our staff courteous?	Yes No
7.	Promptness of service was:	Very Satisfactory Satisfactory Not Satisfactory
8.	Would you recommend us to someone else?	Yes No
9.	Are you aware of our Customer Service phone line 1.866.SEE.COOP (1.866.733.2667)?	Yes No
10.	What is your preferred time of appointment?
11.	Any Additional Comments?
	THANK YOU FOR YOUR TIME AND PATRONAGE
Optional:	Name: Email: Phone: Address: City, State, Zip: