Parson's Eye Care
Where the BEST choice, is always crystal clear!

123 Four Street . City . State . Zip
Office : (800) 723-1599  Fax : (800) 723-1599

Thanks for visiting our patient feedback site! Here, you can sign up to receive our fun and informative monthly
e-Newsletter plus have a direct link to our company's doctors & staff. This site was built for YOU!

To learn more about Parson's Eye Care, visit our main website at:  www.ParsonsEyeCare.com
.

To receive our e-Newsletter, simply enter your contact info below.
Each issue we send out will always include an easy way to opt back out at any time. 

First Name :       Last Name :  

Primary Email : 

Can we also include you in any special postal mailings we might do?

Company/Organization (if applicable) : 

Mailing Address :       Apt./ Suite # :       

City :       State :       Zip : 

    Please enter the number you see to the left, here : 

Any information you enter above is secure and will NEVER be shared, sold,
traded, merged, or otherwise made available to any third party ... ever.

We RESPECT and VALUE your privacy and will do everything we can to protect it. 

Office Use Only :             

To view a couple of our most recent e-Newsletters, click any issue:

December 2010                  January 2011                  February 2011

Do you have a question about your eye care or eye wear options?
Please feel free to drop us a quick note below ...

Your Name :        Contact Phone or Email :   

or, a Comment, Suggestion, Praise, Complaint, Reminder, Referral -- You Name It!

    Please enter the number you see to the left, here : 

Or, you can also email us directly HERE

Have you recently visited or received service from us?

If so, would you please take just a few moments to tell us how we did? 
 Your feedback will help us to serve you even better on your next visit! 

Your Name (optional)        Phone / Email (optional) 

How well were you greeted by us initially :    Comments?

How would you rate your eye exam experience? :    Comments?

How well were the results of your exam explained? :    Comments?

How would you rate the value of our services :    Comments?

How likely is it that you'd refer us to a friend :    Comments?

Any other Questions?  Concerns?  Suggestions?  Comments?    Can we do anything better?

    Please enter the number you see to the left, here : 

Thank You for your input! 

We really do appreciate the opportunity you give us to
 serve you and for your referrals of friends, family,
 neighbors, and co-workers. Thank You!

*  *  *

Did you remember to sign up for our Monthly e-Newsletter?
 .

*  *  *

This website is powered by ... ClientContacts TM
We make "Staying-in-Touch" EASY!
  Click HERE for details.

 

Copyright © 2011CPG. All rights reserved.