Satisfaction/Feedback Survey

Satisfaction/Feedback Survey

Satisfaction/Feedback Survey

Satisfaction/Feedback Survey

Please take a few moments and let us know what you thought of your last visit…Please let us know how your last visit went.

Location

Doctor

Service Ratings

Communication prior to appointment

Appointment availability

Waiting room time

Fees

Quality of care from staff

Quality of care from doctor

Concerns or questions answered

Overall quality of care

Scheduling

Preferred day for appointments

Preferred time for appointments

Do you plan on returning for your next comprehensive examination?

Would you schedule appointments online?

Products

Satisfaction with eyeglasses

Satisfaction with contact lenses

Range of eyeglasses selection

Identification - This section is optional.

Why did you choose us for your eye health care?

Your Name (Optional)

Additional comments

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admin none 10:00 AM - 6:30 PM 10:00 AM - 6:30 PM 10:00 AM - 6:30 PM 10:00 AM - 6:30 PM 10:00 AM - 5:30 PM 10:00 AM - 4:30 PM 12:00 PM - 3:30 PM optometrist # # # 4157 Belden Village Mall Canton, OH 44718 3302527616 Belden@drhults.com https://www.lenscrafters.com/webapp/wcs/stores/servlet/ScheduleExamView?catalogId=11651&langId=-1&storeId=10851&storeNumber=0036 https://secure.yourlens.com/drhultscanton/ https://www.crystalpm.com/index.jsp?crystalpmid=1096&pageid=2 https://www.google.com/maps/place/Dr.+Richard+E.+Hults+%26+Associates,+Inc./@40.8552549,-81.4265968,15z/data=!4m2!3m1!1s0x0:0xbb76466ae4dc854d?sa=X&ved=2ahUKEwjRz7nH_Jf6AhVpxjgGHZ5oC-QQ_BJ6BAhIEAU https://www.google.com/search?q=Dr.+Richard+E.+Hults+%26+Associates+Belden&oq=Dr.+Richard+E.+Hults+%26+Associates+Belden&aqs=chrome..69i57j33i160l2.5401j0j7&sourceid=chrome&ie=UTF-8#lrd=0x8836d6cb8e4a3d05:0xbb76466ae4dc854d,3,,, https://www.facebook.com/drhultsbelden/ https://www.yelp.com/writeareview/biz/IQtCv0PbB4Z7a3D54h1uKg?return_url=%2Fbiz%2FIQtCv0PbB4Z7a3D54h1uKg&review_origin=biz-details-war-button https://www.yelp.com/biz/richard-e-hults-and-associates-canton 3265 W. Market St. Akron, OH 44333 3302527457 Summit@drhults.com https://www.lenscrafters.com/webapp/wcs/stores/servlet/ScheduleExamView?catalogId=11651&langId=-1&storeId=10851&storeNumber=0062 https://secure.yourlens.com/drhultsfairlawn/ https://www.crystalpm.com/index.jsp?crystalpmid=1092&pageid=2 https://www.google.com/maps/place/Dr.+Richard+E.+Hults+%26+Associates,+Inc./@41.1338108,-81.6178665,15z/data=!4m5!3m4!1s0x0:0xf058c8c57b2a6b27!8m2!3d41.1338108!4d-81.6178665 https://www.google.com/maps/place/Dr.+Richard+E.+Hults+%26+Associates,+Inc./@41.1338108,-81.6178665,15z/data=!4m5!3m4!1s0x0:0xf058c8c57b2a6b27!8m2!3d41.1338108!4d-81.6178665 https://www.google.com/search?q=dr.+Richard+E.+Hults+%26+Associates+Summit&ei=r_4jY-X8GY222roPovat6AM&ved=0ahUKEwilkMHnv5j6AhUNm1YBHSJ7Cz0Q4dUDCA4&uact=5&oq=dr.+Richard+E.+Hults+%26+Associates+Summit&gs_lcp=Cgdnd3Mtd2l6EAMyBQghEKABMgUIIRCgATIFCCEQoAE6BwghEKABEApKBAhBGAFKBAhGGABQqwhY_BJg0xVoAXAAeACAAeABiAGiBpIBBTAuNS4xmAEAoAEBwAEB&sclient=gws-wiz#lrd=0x8830d0a6e5a92e4b:0xf058c8c57b2a6b27,3,,, https://www.facebook.com/Dr-Richard-Hults-and-Associates-Akron-1743997412493386 https://www.yelp.com/writeareview/biz/Gb91dYgdZ73OEy-a2Icu3g?return_url=%2Fbiz%2FGb91dYgdZ73OEy-a2Icu3g&review_origin=biz-details-war-button https://www.yelp.com/biz/richard-e-hults-and-associates-akron-2 3580 Westgate Fairview Park, OH 44126 4407552857 Westgate@drhults.com https://www.lenscrafters.com/webapp/wcs/stores/servlet/ScheduleExamView?catalogId=11651&langId=-1&storeId=10851&storeNumber=0052 https://secure.yourlens.com/drhultsfairviewpark/ https://www.crystalpm.com/index.jsp?crystalpmid=1183&pageid=2 https://www.google.com/maps/place/Dr.+Richard+E.+Hults+%26+Associates,+Inc./@41.4595181,-81.8523308,15z/data=!4m2!3m1!1s0x0:0xdb83866d051e0245?sa=X&ved=2ahUKEwilkMHnv5j6AhUNm1YBHSJ7Cz0Q_BJ6BAhCEAU https://www.google.com/maps/place/Dr.+Richard+E.+Hults+%26+Associates,+Inc./@41.4595181,-81.8523308,15z/data=!4m2!3m1!1s0x0:0xdb83866d051e0245?sa=X&ved=2ahUKEwilkMHnv5j6AhUNm1YBHSJ7Cz0Q_BJ6BAhCEAU https://www.google.com/search?q=dr.+Richard+E.+Hults+%26+Associates+Westgate&oq=dr.+Richard+E.+Hults+%26+Associates+Westgate&aqs=chrome..69i57j33i160l3.6929j0j7&sourceid=chrome&ie=UTF-8#lrd=0x8830ed445592e029:0xdb83866d051e0245,3,,, https://www.facebook.com/Dr-Hults-and-Associates-Fairview-Park-1399346537058174 https://www.yelp.com/writeareview/biz/KbuYd93hqhiDH72jRqymqg?return_url=%2Fbiz%2FKbuYd93hqhiDH72jRqymqg&review_origin=biz-details-war-button https://www.yelp.com/biz/richard-e-hults-od-cleveland 4690 Midway Blvd Elyria, OH 44035 4406876055 Elyria@drhults.com https://www.lenscrafters.com/ScheduleExamView?catalogId=11651&clearExams=1&langId=-1&storeNumber=0559&storeId=10851&cid=Yext_PagesSchedule_0559 https://www.crystalpm.com/index.jsp?crystalpmid=2731&pageid=2 https://www.google.com/maps/place/Dr.+Richard+E.+Hults+%26+Associates,+Inc./@41.3961601,-82.111909,15z/data=!4m2!3m1!1s0x0:0x2b771cbc112dd1e8?sa=X&ved=2ahUKEwiLjICrwJj6AhWem1YBHXdUDj0Q_BJ6BAg8EAU https://www.google.com/maps/place/Dr.+Richard+E.+Hults+%26+Associates,+Inc./@41.3961601,-82.111909,15z/data=!4m2!3m1!1s0x0:0x2b771cbc112dd1e8?sa=X&ved=2ahUKEwiLjICrwJj6AhWem1YBHXdUDj0Q_BJ6BAg8EAU https://www.google.com/search?q=dr.+Richard+E.+Hults+%26+Associates+Midway&ei=6_4jY7agAuez2roP1rW26AM&ved=0ahUKEwj2wfeDwJj6AhXnmVYBHdaaDT0Q4dUDCA4&uact=5&oq=dr.+Richard+E.+Hults+%26+Associates+Midway&gs_lcp=Cgdnd3Mtd2l6EAMyBQghEKABMgUIIRCgATIFCCEQoAE6CAgAEKIEELADOgcIIRCgARAKSgQIQRgBSgQIRhgAUOEHWPIUYLcXaAJwAHgAgAGTAYgB0gWSAQMwLjaYAQCgAQHIAQHAAQE&sclient=gws-wiz#lrd=0x88309941829d5bfb:0x2b771cbc112dd1e8,3,,, https://secure.yourlens.com/drhultsrichmondheights/