NORWALK
(203) 939-9688
MILFORD
(203) 301-4349
BRANFORD
(203) 643-0620
HAMDEN
(203) 288-8300
Home
Our Services
About Us
Team
FAQ’s
Forms
Contact Us
Make Payment
Take Our Survey
Name
*
First
Last
Email
*
Phone (optional)
1. Overall, how would you rate your visit to our center?
*
Bad
Okay
Good
Very Good
Great
2. How would you rate our ability to listen to what you had to say?
*
Bad
Okay
Good
Very Good
Great
3. Please rate how our office staff served you during your visit:
A. Friendly
*
Bad
Okay
Good
Very Good
Great
B. Helpful
*
Bad
Okay
Good
Very Good
Great
C. Explained things clearly
*
Bad
Okay
Good
Very Good
Great
4. Please rate how our technician served you during your visit:
D. Friendly
*
Bad
Okay
Good
Very Good
Great
E. Helpful
*
Bad
Okay
Good
Very Good
Great
E. Explained things clearly
*
Bad
Okay
Good
Very Good
Great
Δ