SVS VISION CUSTOMER CARE SURVEY SVS Vision Customer Care Survey Question Title * 1. Which SVS Vision location did you visit? Adrian, MI Allen Park, MI Amherst, NY Ann Arbor, MI Auburn Hills, MI Belleville, MI Blasdell, NY Bloomfield Hills, MI Brighton, MI Caledonia, MI Chesterfield, MI Cincinnati, OH Clarksville, IN Clawson, MI Clinton Township, MI Davison, MI Detroit, MI Gateway Plaza Detroit, MI Grand River Detroit, MI Mack Ave Eastpointe, MI Euclid, OH Fairlawn, OH Flint, MI S Linden Florissant, MO Fraser, MI Garden City, MI Gaylord, MI Grand Rapids, MI E. Beltline Grandville, MI Holland, MI Indianapolis, IN S East St Indianapolis, IN Washington St Imlay City, MI Jackson, MI Kalamazoo, MI Kansas City, MO Lake Orion, MI Lansing, IL Lansing, MI Lenox Twp., MI Liberty, MO Lima, OH Livonia, MI Louisville, KY Springhurst Louisville, KY Preston Highway Madison Heights, MI Marysville, MI Mentor, OH Merrillville, IN Middleburg Heights, OH Midland, MI Monroe, MI Mt. Clemens, MI Northville, MI Oak Park, MI Okemos, MI Plymouth, MI Redford, MI Saginaw, MI Sandusky, OH Sheffield, OH Shelby Twp., MI Hayes Shelby Twp., MI 26 Mile Southfield, MI Southgate, MI St. Clair Shores, MI Sterling Heights, MI Dequindre Sterling Heights, MI Van Dyke Stockbridge, GA Taylor, MI Toledo, OH Traverse City, MI Trenton, MI Walker, MI Waterford, MI Warren, MI Wayne, MI West Branch, MI Wixom, MI Ypsilanti, MI Question Title * 2. Please rate your overall experience during your visit. Very Dissatisfied Somewhat Dissatisifed Neither Satisfied nor Dissatisfied Somewhat Satisfied Very Satisfied Very Dissatisfied Somewhat Dissatisifed Neither Satisfied nor Dissatisfied Somewhat Satisfied Very Satisfied Question Title * 3. Were you greeted upon entering the store? Yes No Yes No Please provide any additional comments about your initial interaction / impression of the staff. Question Title * 4. Please rate your experience during this visit on the following: Very Satisfied Somewhat Satisfied Neither Satisfied Nor Dissatisfied Somewhat Dissatisfied Very Dissatisfied N/A Receptionist / Greeter Receptionist / Greeter Very Satisfied Receptionist / Greeter Somewhat Satisfied Receptionist / Greeter Neither Satisfied Nor Dissatisfied Receptionist / Greeter Somewhat Dissatisfied Receptionist / Greeter Very Dissatisfied Receptionist / Greeter N/A Doctor and Eye Exam Doctor and Eye Exam Very Satisfied Doctor and Eye Exam Somewhat Satisfied Doctor and Eye Exam Neither Satisfied Nor Dissatisfied Doctor and Eye Exam Somewhat Dissatisfied Doctor and Eye Exam Very Dissatisfied Doctor and Eye Exam N/A Optician and Frame Selection Process Optician and Frame Selection Process Very Satisfied Optician and Frame Selection Process Somewhat Satisfied Optician and Frame Selection Process Neither Satisfied Nor Dissatisfied Optician and Frame Selection Process Somewhat Dissatisfied Optician and Frame Selection Process Very Dissatisfied Optician and Frame Selection Process N/A Optician and Dispense / Adjustment Optician and Dispense / Adjustment Very Satisfied Optician and Dispense / Adjustment Somewhat Satisfied Optician and Dispense / Adjustment Neither Satisfied Nor Dissatisfied Optician and Dispense / Adjustment Somewhat Dissatisfied Optician and Dispense / Adjustment Very Dissatisfied Optician and Dispense / Adjustment N/A Product Assortment (Frames) Product Assortment (Frames) Very Satisfied Product Assortment (Frames) Somewhat Satisfied Product Assortment (Frames) Neither Satisfied Nor Dissatisfied Product Assortment (Frames) Somewhat Dissatisfied Product Assortment (Frames) Very Dissatisfied Product Assortment (Frames) N/A Question Title * 5. Was your eyewear / contacts ready when promised? Yes No (But I was notified) No (and I was NOT notified) Yes No (But I was notified) No (and I was NOT notified) Question Title * 6. Were the following items explained to you? Yes No N/A How to care for your eyeglasses and/or contacts How to care for your eyeglasses and/or contacts Yes How to care for your eyeglasses and/or contacts No How to care for your eyeglasses and/or contacts N/A The SVS Vision Refer-a-Friend Program The SVS Vision Refer-a-Friend Program Yes The SVS Vision Refer-a-Friend Program No The SVS Vision Refer-a-Friend Program N/A The SVS Vision 45-Day Gotta Love 'em Guarantee The SVS Vision 45-Day Gotta Love 'em Guarantee Yes The SVS Vision 45-Day Gotta Love 'em Guarantee No The SVS Vision 45-Day Gotta Love 'em Guarantee N/A The SVS Vision 1-Year Eyewear Warranty The SVS Vision 1-Year Eyewear Warranty Yes The SVS Vision 1-Year Eyewear Warranty No The SVS Vision 1-Year Eyewear Warranty N/A The SVS Vision Half-Off Your Second Pair Promotion The SVS Vision Half-Off Your Second Pair Promotion Yes The SVS Vision Half-Off Your Second Pair Promotion No The SVS Vision Half-Off Your Second Pair Promotion N/A Your Invoice Details Your Invoice Details Yes Your Invoice Details No Your Invoice Details N/A Question Title * 7. If you know the names of any SVS Vision employee who assisted you during your visit, please provide them below. Doctor: Office Staff: Question Title * 8. Is there anything else we should know? What specifically stood out to you during your visit to SVS Vision? What were your favorite things about your experience? What could we have done better? Question Title * 9. How did you hear about SVS Vision? (check all that apply). Digital Ad (Internet, Facebook, Instagram, Pandora, Etc.) TV Commercial Radio Commercial Groupon Trade Journal SVS Vision is my in-network optical insurance provider Other (please specify) Question Title * 10. Were you referred to SVS Vision? Yes No If "Yes", please enter the first and last name of the person who referred you to SVS Vision here. Want a chance to win? Be sure to fill out your contact information to be entered to win a pair of sunglasses. Please complete the CONTACT INFORMATION portion below. No cash value. Voucher is good for one pair of sunglasses, including a frame valued up to $200 and a choice of existing non-prescription lenses, single vision tinted prescription lenses, or single vision Sunshield prescription lenses. Cannot be combined with any other offer. Voucher cannot be used on any prior orders or orders in process. Odds of winning based on number of completed evaluation forms. One winner per month. Certain exclusions may apply. Question Title * 11. Contact Information First Name Last Name Company Address Address 2 City/Town State/Province Zip/Postal Code Email Address Phone Number Insurance (if applicable) Thank you for your time. Done
