Please answer the following to the best of your knowledge

  1. Required field
  2. Date required. Time optional.
  3. Please select the department(s) that cared for you during your visit.

Doctor Experience

  1. Do you feel your doctor spent an appropriate amount of time with you?
  2. Were all of your questions answered before you left the exam room?

Clinic Technicians Experience

  1. Did the clinic technician treat you well during your visit?
  2. Were the instruments and procedures explained before proceeding with the testing?

Contact Lens Experience

  1. Did the contact lens technician treat you well during your visit?
  2. Do you purchase your contact lenses from us?

Eyewear Experience

  1. Have you had your eyewear adjusted at one of our locations?
  2. If yes, were we able to resolve the issue that prompted your visit?
  3. Did you find eyewear and sunglasses that met your lifestyle needs?

Checkin/out Experience

  1. Did we treat you well during your visit?
  2. Did we answer all of your insurance and billing questions?

Optional Patient Information

  1. Invalid email address
  2. Would you refer our services to others?
  3. Whom may we thank for referring you to our office?
  4. Have you seen our name or heard about our services through any of the following?

To provide the best communication possible please answer the following

  1. Do you listen to local radio stations?
  2. Do you read any local newspapers?
  3. Do you read newspapers online?
  4. Do you use Facebook?
  5. Do you learn more about a company through their website?
  6. Do you read email updates from businesses?
  • ‘O’ Street

    Phone: (402) 420-2020
    7930 ‘O’ Street
    Lincoln, NE 68510
    View detailed map
    Location Hours:
    • M-Wed 8 am - 5:30 pm
    • Thur 9:30 am - 8 pm
    • Fri 8 am - 5 pm
    • Sat 8 am - Noon
    • Sun Closed
  • Pine Lake Road

    Phone: (402) 420-2020
    2943 Pine Lake Rd.
    Lincoln, NE 68516
    View detailed map
    Location Hours:
    • M-Tue 8 am - 5:30 pm
    • Wed 8 am - 8 pm
    • Thu 9:30 am - 5:30 pm
    • Fri 8 am - 5 pm
    • Sat 8 am - Noon
    • Sun Closed
  • Superior Street

    Phone: (402) 420-2020
    2500 Northview Rd.
    Lincoln, NE 68521
    View detailed map
    Location Hours:
    • Mon 8 am - 5:30 pm
    • Tue 8 am - 8 pm
    • Wed 8 am - 5:30 pm
    • Thu Noon - 5:30 pm
    • Fri 8 am - 5 pm
    • Sat 8 am - Noon
    • Sun Closed
  • Beatrice Location

    Phone: (402) 223-4098
    2005 Court St.
    Beatrice, NE 68310
    View detailed map
    Location Hours:
    • M-Wed 8 am - 5:30 pm
    • Thu 9:30 am - 7 pm
    • Fri 8 am - 5 pm
    • Sat 8 am - Noon
    • Sun Closed
  • Fremont Location

    Phone: (402) 727-9220
    3220 Elk Lane.
    Fremont, NE 68025
    View detailed map
    Location Hours:
    • M-Wed 8 am - 5:00 pm
    • Thu 12 pm - 7 pm
    • Fri 8 am - 5 pm
    • Sat-Sun Closed
  • Vision Therapy

    Phone: (402) 420-2020
    Center for Vision Development
    2917 Pine Lake Rd.
    Suite B
    Lincoln, NE 68516
    View detailed map
    Location Hours:
    • Mon 7 am - 6 pm
    • Tue 7 am - 6 pm
    • Wed 7 am - 6 pm
    • Thu 7 am - 6 pm
    • Fri 7 am - 5 pm
    • Sat-Sun Closed
    • We are CLOSED every day from noon to 1 pm

Save Your Data